Imaging of Articular and Periarticular Tumors and Pseudotumors

  • Sergio Lopes Viana
  • Maria Custódia Machado Ribeiro
  • Bruno Beber Machado


Even though tumors and pseudotumors are not rheumatic conditions per se, their clinical and/or imaging presentation often resemble those of articular diseases, especially when located within the joints or in nearby areas. Histopathological analysis remains indispensable for a definitive diagnosis, but imaging studies play a fundamental role in the assessment of these lesions. Many musculoskeletal tumors/pseudotumors display a typical appearance on imaging, thus allowing a presumptive diagnosis with a reasonable degree of accuracy. In addition, surgical planning relies on adequate preoperative staging, which can be safely achieved with imaging. Only selected lesions more prone to simulate rheumatic conditions in the pediatric age group – either from a clinical standpoint or on imaging – are covered in this chapter. Bone lesions include osteoid osteoma, chondroblastoma, cortical desmoids, focal fibrocartilaginous dysplasia, and dysplasia epiphysealis hemimelica, while pigmented villonodular synovitis, localized nodular synovitis, giant cell tumor of the tendon sheath, lipoma arborescens, primary synovial osteochondromatosis, and synovial hemangioma comprise the soft-tissue lesions to be studied.


Imaging Joints Radiology Children Adolescents Pediatrics Radiographs X-rays Ultrasonography Computed tomography Magnetic resonance imaging Tumor Pseudotumor Osteoid osteoma Chondroblastoma Cortical desmoid Focal fibrocartilaginous dysplasia Dysplasia epiphysealis hemimelica Pigmented villonodular synovitis Localized nodular synovitis Giant cell tumor of the tendon sheath Lipoma arborescens Primary synovial osteochondromatosis Synovial hemangioma 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sergio Lopes Viana
    • 1
  • Maria Custódia Machado Ribeiro
    • 2
  • Bruno Beber Machado
    • 3
  1. 1.Hospital da Criança de Brasília José Alencar, Hospital Ortopédico e Medicina Especializada (HOME) and Diagnóstico Clínica de Imagens MédicasBrasíliaBrazil
  2. 2.Hospital da Criança de Brasília José AlencarBrasíliaBrazil
  3. 3.Gastren Clínica Médica e Radiológica (Iúna-ES), Clínica Radiológica Med Imagem, Clínica Radiológica Radial, Santa Casa de Misericórdia and Unimed Sul CapixabaCachoeiro de ItapemirimBrazil

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