Smithsonian National Museum of Natural History logo

Osteoware: Standardized Skeletal Documentation Software

Osteoware: Standardized Skeletal Documentation Software

Abnormal bone formation in the pathology module

3 posts / 0 new
Last post
Offline
Last seen: 2 years 7 months ago
Joined: 01/20/2015 - 07:35

I would like to ask about some features in recording abnormal bone formation in the pathology module. what i understand is to record abnormal bone added on  any area of the bone except articular surfaces and entheses in the abnormal bone formation data entry in the osteoware. but if there is large (> 2mm) abnormal bone added in entheses (muscle or ligament attachement sites) will also be recorded in the abnormal bone formation data entry as enthesophytes. Then i will exclude any abnormal bone formation in enthese (muscle or ligament attachemnt sites) if it is not more than 2mm. is my understanding right or wrong?

Edited by: kochertj on 01/29/2015 - 12:02
C Dudar's picture
Offline
Last seen: 2 days 1 hour ago
Joined: 12/09/2011 - 13:44

Hello, and thank you for posting your question.

Abnormal bone formation on articular surfaces is usually the result of osteoarthritis, and would be entered under that pathology data entry screen.

Abnormal bone formation anywhere else on the bone is entered on the 'Abnormal Bone Formation' data entry screen.  The sub-section of that screen called, 'Ossified Tissue' includes checkboxs for 'Muscle', 'Ligaments', 'Enthesophyte' and so on.

If the enthesophyte is a complication of trauma, then also check the 'Traumatic Enthesopathy' checkbox in the 'Trauma' data entry screen.

Whether the enthesopathy you observe reaches the threshold of a pathological condition is in your judgement, but I suggest assigning an absolute 2 mm limit may be restrictive.

Always remember to enter a detailed description for all conditions entered, and include any references used in differential disgnosis, or standard reference such as for enthesopathy characterization.

If you have any other questions, please do not hesitate to ask.

 

 

 

 

Offline
Last seen: 2 years 7 months ago
Joined: 01/20/2015 - 07:35

Thanks for your reply.

you said that Abnormal bone formation anywhere else on the bone is entered on the 'Abnormal Bone Formation' data entry screen. Ok, then abnormal bone "enthesophyte" on greater and lesser trochanter, trochantric fossa, linea aspera in the femur & enthseophyte at tibial tuberosity and others will be scored in the abnormal bone formation data entry screen. And if these enthsophytes reachs 2mm ( indicating a pathological condition), the enthesophyte check box in the abnormal bone formation data entry screen will be checked.