Pretibial subcutaneous soft tissue lesions presenting to a paediatric orthopaedic clinic

Mark S. Gaston, Alastair W. Murray, Daniel E. Porter

Research output: Contribution to journalArticlepeer-review

Abstract

Pretibial swellings in children usually represent erythema nodosum which exhibits characteristic skin changes. Three cases of pretibial subcutaneous lesions are presented which had no skin involvement or bony abnormalities on plain radiographs. At initial presentation, concerns of malignancy were raised but these lesions were ultimately diagnosed as granuloma annulare, fat necrosis and subcutaneous infection. In combination with clinical assessment and plain radiographs, MRI proved invaluable in reaching diagnosis and excluding neoplasia. Biopsy was only required in one case in this series after MRI. A tissue diagnosis, however, remains mandatory if there is any doubt over the nature of such lesions. J Pediatr Orthop B 17:311-314 (C) 2008 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

Original languageEnglish
Pages (from-to)311-314
Number of pages4
JournalJournal of Pediatric Orthopaedics B
Volume17
Issue number6
DOIs
Publication statusPublished - Dec 2008

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