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Finding-the-Path: Treat the fracture

Second radiograph after treatment

The extent of Paget's disease is shown on this second radiograph taken after treatment. The fracture line is no longer visible.

Discussion

The radiologic appearance of Paget's disease of the long bone reflects the pathologic stages of the disease: (1) destructive or active, (2) combined destructive and proliferative, and (3) sclerotic. Paget's disease of the long bones begins at one end of the bone (the shaft of the tibia may occasionally be involved by itself). Complications of Paget's disease are insufficiency and true fractures; sarcoma is a rare complication. Paget's disease does not require follow-up imaging unless complications occur.
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