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On this page:Bony Tenderness

Bony Tenderness

  • How to Elicit

  • Gently press over the bony prominences of the lower limb, asking the patient if this elicits pain.
  • Significance

  • May be an indicator of malignancy.
  • Causes of Bony Tenderness

  • Traumatic fracture
  • Pathological fracture - osteoporosis, osteomalacia, osteogenesis imperfecta, Paget’s disease of bone
  • Osteolytic lesions - multiple myeloma, bony metastasis, fibrous dysplasia bone cyst
  • Osteosarcoma
  • Infection - osteomyelitis / septic arthritis
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