leg

Region specific approaches

Theory

- want to traverse one muscle / one compartment

- keep away from NV bundle

- as a rule perform open biopsy through compartment the tumour is in

- this is the compartment that will require surgical removal in wide excision

- direct approach without going through muscle if possible i.e. tibia, distal ulna

Lower Limb

Thigh

Type

Short limbed dwarfism, normal trunk and spine

Characteristics

Metaphyseal changes of tubular bones

- Normal epiphyses

- metaphysis adjacent to physis very broad and mildly scalloped

- resembles healing rickets

Pathology

Defect in proliferative and hypertrophic zones of physis

Types:

Jansens (Rare)

- most severe