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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