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Difference between revisions of "Ditzels"
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→Bone reamings: tweak
(→Bone reamings: tweak) |
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==Bone reamings== | ==Bone reamings== | ||
===General=== | ===General=== | ||
*Taken during surgical repair, e.g. intramedullary nail placement. | *Taken during the surgical repair of a [[fracture]], e.g. intramedullary nail placement. | ||
*Hassan ''et al.''<ref name=pmid17849954>{{Cite journal | last1 = Hassan | first1 = K. | last2 = Kalra | first2 = S. | last3 = Moran | first3 = C. | title = Intramedullary reamings for the histological diagnosis of suspected pathological fractures. | journal = Surgeon | volume = 5 | issue = 4 | pages = 202-4 | month = Aug | year = 2007 | doi = | PMID = 17849954 }}</ref> advocate against their use, suggesting the yield is low and a biopsy should be preferred. | *Done to rule-out a [[pathologic fracture]]; considered reliable for detecting malignancy.<ref name =pmid7509409>{{Cite journal | last1 = Clarke | first1 = AM. | last2 = Rogers | first2 = S. | last3 = Douglas | first3 = DL. | title = Closed intramedullary biopsy for metastatic disease. | journal = J R Coll Surg Edinb | volume = 38 | issue = 6 | pages = 368-9 | month = Dec | year = 1993 | doi = | PMID = 7509409 }}</ref> | ||
**Hassan ''et al.''<ref name=pmid17849954>{{Cite journal | last1 = Hassan | first1 = K. | last2 = Kalra | first2 = S. | last3 = Moran | first3 = C. | title = Intramedullary reamings for the histological diagnosis of suspected pathological fractures. | journal = Surgeon | volume = 5 | issue = 4 | pages = 202-4 | month = Aug | year = 2007 | doi = | PMID = 17849954 }}</ref> advocate against their use, suggesting the yield is low and a biopsy should be preferred. | |||
===Microscopic=== | ===Microscopic=== | ||
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BONE, LEFT FEMUR, REAMINGS: | BONE, LEFT FEMUR, REAMINGS: | ||
- FEATURES CONSISTENT WITH A RECENT FRACTURE. | - FEATURES CONSISTENT WITH A RECENT FRACTURE. | ||
- NEGATIVE FOR MALIGNANCY. | |||
</pre> | </pre> | ||