case 27 Solution Last Part

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⏹Banana Fracture:

✅On lateral View, Bowed Tibia (Resembling Banana) with a small Cortical Break called as “Banana Fracture”

⏹Mosaic/Jigsaw Pattern of Bone:

✅Histologic hallmark

•Due to Prominent irregular cement lines

•Areas of Bone deposition & Resoption giving a mosaic/jigsaw puzzle appearance

•The involved bones are weak and fracture easily

✅Thickened, disorganized trabeculae lead to areas of sclerosis interspersed with lucent and more normal bone

(As shown in Picture)

⏹Tam O’ Shanter Sign:

✅Excessively Protuberant Frontal Bone resembling ‘Tam O’ Shanter Hat’

(As shown in Picture)

⏹Brim Sign:

✅Abnormally Thickened Iliopectineal Line

✅Iliopectineal Line forms Pelvic Brim so called as ‘Brim sign’

(As shown in Picture)

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Identify the disease based on the symptoms and examination reports 🧐

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