Musculoskeletal #12 – Flashcard

43-year-old healthy patient:
– with fibromyalgia
– No other relevant medical history

What do you see on the following images?

Click here to see the answer

IMAGING FINDINGS:

Multiple focal sclerotic bone lesions clustered around joints in both knees and sacroiliac joints

DIAGNOSIS:

Osteopoikilosis

TEACHING POINTS:

Sclerosing bony dysplasia characterized by multiple enostoses
Typically clustered around joints, aligned parallel to trabeculae. Usually 1-3 mm, they can reach up to 20 mm
Rare condition; inherited; asymptomatic; incidental
Important to avoid misdiagnosis with other relevant pathologies such as metastasis

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