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Reading: Longitudinal cortical split sign as a potential diagnostic feature for cortical osteitis

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Original Article

Longitudinal cortical split sign as a potential diagnostic feature for cortical osteitis

Authors:

V Goosens ,

Department of Radiology, University Hospital, Leuven
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F M Vanhoenacker,

Department of Radiology, University Hospital, Antwerp, AZ Sint-Maarten Duffel-Mechelen
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I Samson,

Department of Orthopedic Surgery, University Hospital, Leuven, Belgium
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P Brys

Department of Radiology, University Hospital, Leuven
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Abstract

Septic cortical osteitis is a rare but distinct type of bone infection that is characterized as a hematogenously seeded infection predominantly or exclusively limited to the cortex. Diagnosis is difficult and often delayed. Combination of clinical and laboratory findings together with the typical radiological findings consisting of vertically orientated cortical osteolysis, the ‘cortical split sign’ and the predominantly cortical disruption at the periosteal side of the cortex may lead to the correct diagnosis.

Keywords: Bones, infection
How to Cite: Goosens V, Vanhoenacker FM, Samson I, Brys P. Longitudinal cortical split sign as a potential diagnostic feature for cortical osteitis. Journal of the Belgian Society of Radiology. 2010;93(2):77–80. DOI: http://doi.org/10.5334/jbr-btr.138
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Published on 05 Feb 2010.
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