Freyschmidt J
Rontgenblatter. 1980 Apr;33(4):163-76.
Osteoporosis, osteomalacia, fibro-osteoclasia and osteosclerosis are essential reactions to pathologico-metabolic processes of the bone. The x-ray film shows precisely which changes have taken place in the bone structure, thus supplying the means for an analysis based on anatomic pathology. These phenomena are discussed in detail, special attention being paid to structural modifications. Attention is also focused on the problems connected with x-ray technology. The value of direct and indirect magnification of the skeleton of the hand for the identification and classification of osteopathies is explained. Phenomena observed in x-ray films, such as enosteal erosion, intracortical longitudinal stripes or tunnelisation, as well as subperiostal absorption, can be of pathognomonic importance for certain osteopathies.
骨质疏松症、骨软化症、纤维性骨炎和骨质硬化症是骨骼病理性代谢过程的重要反应。X线片能精确显示骨骼结构发生了哪些变化,从而为基于解剖病理学的分析提供手段。将详细讨论这些现象,特别关注结构改变。还将重点关注与X线技术相关的问题。解释了手部骨骼直接和间接放大对骨病识别和分类的价值。X线片中观察到的现象,如骨内膜侵蚀、皮质内纵向条纹或隧道样改变以及骨膜下吸收,对某些骨病可能具有诊断意义。