enostosis

{{short description|Small, hard nodule within the interior of a bone}}

{{For|the island|Bone Island}}

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| synonyms = Bone island

| image = Osteopoikilie Haende.jpg

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| caption = Osteopoikilosis results in multiple enostoses.

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| field = orthopedic

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An enostosis is a small area of compact bone within the cancellous bone.{{cite book|last1=Ingle|first1=John Ide|last2=Bakland|first2=Leif K.|title=Endodontics|date=2002|publisher=PMPH-USA|isbn=9781550091885|page=197|url=https://books.google.com/books?id=C_T3WQ-a1MMC&q=Enostosis|accessdate=23 November 2017|language=en}}{{cite book|last1=Davies|first1=A. Mark|last2=Sundaram|first2=Murali|last3=James|first3=Steven J.|title=Imaging of Bone Tumors and Tumor-Like Lesions: Techniques and Applications|date=2009|publisher=Springer Science & Business Media|isbn=9783540779841|page=253|url=https://books.google.com/books?id=aO_kOCnkBCAC&q=Enostosis|accessdate=23 November 2017|language=en}} They are commonly seen as an incidental finding on radiographs or CT scans. They are typically very small and do not cause any symptoms.{{cite book|last1=Mann|first1=Robert W.|last2=Hunt|first2=David R.|title=PHOTOGRAPHIC REGIONAL ATLAS OF BONE DISEASE: A Guide to Pathologic and Normal Variation in the Human Skeleton (3rd Ed.)|date=2013|publisher=Charles C Thomas Publisher|isbn=9780398088279|page=284|url=https://books.google.com/books?id=9lnDCAAAQBAJ&q=Enostosis+benign|accessdate=23 November 2017|language=en}} Their radiodensity is generally similar to cortical bone.[https://books.google.com/books?id=e3F4NaY3fgQC&pg=PA1900 Page 1900] in: {{cite book|title=Encyclopedia of Imaging, Volume 2|author=Albert L. Baert|publisher=Springer Science & Business Media|year=2008|isbn=9783540352785}} No treatment is necessary. Multiple enostoses are present in osteopoikilosis.{{cite book|last1=Algra|first1=Paul R.|last2=Valk|first2=Jaap|last3=Heimans|first3=Jan J.|title=Diagnosis and Therapy of Spinal Tumors|date=2013|publisher=Springer|isbn=9783642602542|page=96|url=https://books.google.com/books?id=jVXmCAAAQBAJ&q=Enostosis+osteopoikilosis|accessdate=23 November 2017|language=en}}

Spine

Enostosis is usually found in T1 to T7 for the thoracic spine and L2 to L3 in the lumbar spine. It consists of cortical bone merging with medullary bone with irregular margins. The shape of the lesion is round or oval with a thornlike margin, up to 2 cm in diameter. In both T1 and T2-weighted imaging, it shows low signal intensity. It is usually presented as a single lesion.{{Cite journal |last1=Orguc |first1=Sebnem |last2=Arkun |first2=Remide |date=2014-06-04 |title=Primary Tumors of the Spine |journal=Seminars in Musculoskeletal Radiology |language=en |volume=18 |issue=3 |pages=280–299 |doi=10.1055/s-0034-1375570 |pmid=24896744 |issn=1089-7860|doi-access=free }}

References

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Further reading

  • {{cite journal|last=Greenspan|first=A|title=Bone island (enostosis): current concept--a review.|journal=Skeletal Radiology|date=Feb 1995|volume=24|issue=2|pages=111–5|pmid=7747175|doi=10.1007/bf00198072|s2cid=11248413}}