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Osteoware: Standardized Skeletal Documentation Software

Osteoware: Standardized Skeletal Documentation Software

could you please give me an example....

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Joined: 01/20/2015 - 07:35
  1. could you please give me an example of abnormal bone formation you recorded in the osteoware on a bone like femur or tibia, especially if that bone belongs to an old man or woman "has enthesophytes as a sign of ageing", and another one bears enthesophytes as a sign of pathological condition.

 

  • An example of an aged individual from my collection. I need to correct me if im wrong

Femur 

side: both sides

Aspect: Anterior+ posterior

Section: proximal epiphysis + proximal third of diaphysis

Periosteal surface: sclerotic + compact/remodeled

Surface appearence: other (nodular + smooth+ striated)

Extent: 1/3- 2/3

Description: abnormal bone added on the greater, lesser trochanter, intertrochantric crest, linea aspera, spiral line, as aresult of being muscle or ligament attachment sites "enthesophytes" but not reach a pathological condition. probably resulting from ageing.

       2. I'd like to ask also if enthesophytes lower than 2mm height "considered as a result of aging", these ensthesophytes (abnormal bone formation) will be considered as periostitits resulting from aging.

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Joined: 12/09/2011 - 13:44

Data entry by activating the abnormal bone formation\enthesophyte 'checkbox' does not make a distinction between "enthesophytes as a sign of ageing, and enthesophytes as a sign of pathological condition".  The data entry checkboxes are provided as a simple means to enter raw observations, and the description/comments section reserved for differential diagnoses.

Your data entry example above is good, and I would only add a brief description of affected surface texture to validate/support whether the bone was recently created (woven), or remodelled (sclerotic), or indications of both.

Periostitis is a generalized term, meaning peripheral bone inflammation resulting in periosteal bone formation, and does not imply the mechanism/causation (Ortner 2003:51).  I would not necessarily attribute "age related" to the observations that I think you are trying to document.  I do agree that generalized changes in bone texture can and do occur with advancing age, but I wouldn't recommend entering that observation under the Pathology Module.