The diagnosis of PDP is based on the combination of digital clubbing,
periostitis, and pachyderma with the absence of any secondary cause, including cardiopulmonary or endocrine diseases and malignancies.
HOA is caused by abnormal growth of bone and skin in the distal extremities and classically presents as digital clubbing, symmetric polyarthritis, and
periostitis of long bones [19].
The other ultrasound parameters such as presence of calcification, Doppler flow, subacromial bursitis,
periostitis, and impingement did not show significant difference between the prolotherapy group and the control group, as these features were only present in 3 patients.
Bilateral stress fracture of the fibulae and
periostitis of the tibiae.
Shin splints, or medial tibial stress syndrome (tibial
periostitis), is characterized by diffuse tenderness in distal third of the tibia posteromedially6.
This can cause cutaneous manifestations (tuberous syphilides, gumma), musculoskeletal disease (
periostitis, osteolysis) and cardiovascular disease (syphilitic aortic aneurysm and insufficiency).
The next most common type of injury was "other," which included ankle pain or soreness, snapping psoas syndrome, torn labrum,
periostitis of the tibia, swelling or bruising, "popped rib" or pulled muscle, overstretch, tension, and sacral bone contusion.
Actinomycotic osteomyelitis and
periostitis of mandible or maxilla also known as lumpy jaw or big head is a sporadic disease caused by Gram positive branching filamentous microorganism, Actinomyces bovis (Militerno, 2008) and most commonly affect bovine, occasionally in equine, porcine and rarely in caprine (Seifi et al., 2003).
The tendinous insertions of the hypertonic muscles become stressed and painful leading to tendonitis and eventually
periostitis (especially noted in golfers and tennis elbow).
Appropriate conditions can include: | Plantar Fasciitis | Calcific Tendonitis of the Shoulder | Tennis and Golfer's Elbow | Achilles Tendinopathy (Hamstring) | Hamstring origin tendinopathy | Trochanteric pain syndrome (Lateral hip pain) | Patella Tendinopathy (Jumpers Knee) | Medial Tibial
Periostitis (Shin Splints) | How does shockwave therapy work?
Our young patient represents such a case, whose X-rays revealed a reactive
periostitis lesion that could be mistaken for any other kind of tumor.