Skip to main content

Abstract

The periosteum is a dense membrane of connective tissue that covers all but the articular surfaces of bones. It is composed of two layers. The thicker, more active inner layer contains osteoblasts in developing bones and also in adults with pathologic conditions. Collagenous fibres extend from the deeper layer into the bone (Sharpey’ s fibers). In children the periosteum is bound more loosely to the underlying cortex than it is in adults and is more prone to separation and subperiosteal hemorrhage. As the result of these anatomic differences, periosteal reactions are more common and play a more important role in the bone pathology of children than in that of adults.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literature

  • Amen MR, Alebouyeh M, Donner WM. Hypertrophic osteoarthropathy in childhood malignancy. AIR 1978; 130:992–3

    Google Scholar 

  • Appel W, Schulz RD, Barth V, Wissmann C. Radiologische Befunde des Periostes bei enzündlichen Knochenerkrankungen. Radiologe 1979; 19: 317–20

    PubMed  CAS  Google Scholar 

  • Baert AL, Casteels-Van Daele M, Broeckx J, et al. Generalised juvenile polyposis with pulmonary arteriovenous malformations and hypertrophic osteoarthropathy. AIR 1983; 141; 661–2

    CAS  Google Scholar 

  • Beluffi G, Marseglia GL, Monafo V, et al. Pulmonary hypertrophic osteoarthropathy in a child with late-onset agammaglobulinemia. Eur J Pediatr 1982; 139: 199–201

    Article  PubMed  CAS  Google Scholar 

  • Bloom RA, Libson E, Husband JE, Stocker DJ. The periosteal sunburst reaction to bone metastases. A literature review and report of 20 additional cases. Skeletal Radiol 1987; 16: 629–34

    Article  PubMed  CAS  Google Scholar 

  • Bretagne MC, Mouton JN, Pierson M, et al. A propos de periostite ou plutot d’appositions periostées en pediatrie. J Radiol Electrol 1977; 58: 119–23

    PubMed  CAS  Google Scholar 

  • Brower AC, Moser RP, Kransdorf MJ. The frequency and diagnostic significance of periostitis in chondroblastoma. AJR 1990; 154: 309–14

    PubMed  CAS  Google Scholar 

  • Cavanaugh JJA, Holman GH. Hypertrophic osteo-arthropathy in childhood. J Pediatr 1965; 66: 27–40

    Article  PubMed  CAS  Google Scholar 

  • Forrester DM, Kirkpatrick J. Periostitis and pseudo-periostitis. Radiology 1976; 118: 597–601

    PubMed  CAS  Google Scholar 

  • Glaser K. Double contous, cupping and spurring in roentgenograms of long bones in infants. AIR 1949; 61: 482–92

    CAS  Google Scholar 

  • Heuck F. Zum Thema “Periostreactionen”. Radiologe 1979; 19: 289–90

    PubMed  CAS  Google Scholar 

  • Heuck F. Periostale Reaktionen bei Knochentumoren. Radiologe 1979; 19: 329–40

    PubMed  CAS  Google Scholar 

  • Hooper G, McMaster MJ. Neurofibromatosis with tibial cyst caused by recurrent hemorrhage. J Bone Jt Surg 1979; 61-B:247–75

    Google Scholar 

  • Kaufmann HJ. Differentialdiagnose periostaler Reactionen im Säuglings-and Kleinkindesalter. Radiol Clin 1962; 31: 337–56

    PubMed  CAS  Google Scholar 

  • Kay CJ, Rosenberg MA, Burd R. Hypertrophic osteoarthropathy and childhood Hodgkin’s disease. Radiology 1974; 112: 177–8

    PubMed  CAS  Google Scholar 

  • Kleinman MB, Elfenbein DS, Wolf EL, Hemphill M, Kurlinski JP. Periosteal reaction due to foreign body — induced inflammation of soft tissue. Pediatrics 1977; 60: 638–41

    Google Scholar 

  • Kozlowski K, Posen S. Idiopathic hypertrophic osteoarthropathy (Report of a further case with brief literature review). Austr Radiol 1983; 27: 291–4

    Article  CAS  Google Scholar 

  • Lemaitre L, Remy J, Farriaux JP, Dhondt JL, Walbaum R. Radiological signs of mucolipidosis II or I-cell disease. A study of nine cases. Pediatr Radiol 1978; 7: 97–105

    Article  PubMed  CAS  Google Scholar 

  • Lipnick RN, Glass RBJ. Bone changes associated with cystic fibrosis. Skeletal Radiol 1992; 21: 115–6

    Article  PubMed  CAS  Google Scholar 

  • Nathanson I, Riddlesberger MM. Pulmonary hypertrophic osteoarthropathy in cystic fibrosis. Radiology 1980; 135: 649–51

    PubMed  CAS  Google Scholar 

  • Rowley RF, Lawson JP. Case report 701. Skeletal Radiol 1991; 617–9

    Google Scholar 

  • Poznanski AK, Fernbach SK, Berry TE. Bone changes from prostaglandin therapy. Skeletal Radiol 1985; 14: 20–5

    Article  PubMed  CAS  Google Scholar 

  • Schiliro G, Russo A. Radiological case of the month. Am J Dis Child 1979; 133: 323–4

    PubMed  Google Scholar 

  • Spjut HJ, Dorfman HD. Florid reactive periostitis of the tubular bones of the hands and feet. Am J Surg Pathol 1981; 5: 423–8

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag London Limited

About this chapter

Cite this chapter

Adler, CP., Kozlowski, K. (1993). Periostitis. In: Primary Bone Tumors and Tumorous Conditions in Children. Springer, London. https://doi.org/10.1007/978-1-4471-1951-7_39

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-1951-7_39

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1953-1

  • Online ISBN: 978-1-4471-1951-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics