Fact-sheet: Pseudofractures - Milkman syndrome


Updated on 03/25/2020 at 11:24 AM

Note : 0/10

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Definition

  • Radiographic sign of osteomalacia corresponding to the focal accumulation of unmineralized osteoid matrix, in place of microfractures caused by normal mechanical stresses that the bone fails to repair properly.
  • Preferential locations:
    iliac and ischiopubic rami, the posteromedial aspect of the ilia, the medial border of the femoral neck, the proximal third of the femoral shaft,
    the axillary border of the scapula, the middle costal arcs, the clavicle, and the posterior and proximal border of the ulna.

Clinical features

  • Myopathy, sensation of fatigue and muscle pain
  • Hip pain
  • Waddling gait
  • Fractures, skeletal deformities

Radiography

  • Radiolucent bands a few millimeters thick,
    with an axis perpendicular
    to that of the bone
  • Regular borders, sometimes sclerotic