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Bony Tenderness

August 13th, 2017


  • How to Elicit

  • Gently press over each spinous process, asking the patient if this elicits pain.
  • Significance

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

  • Traumatic fracture
  • Pathologic 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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