The X-ray of the right distal tibia and fibula is shown, which possibly represent :
Ewing's sarcoma
Osteosarcoma
Soft tissue tumor with fibular involvement
Osteoclastoma
Lesion involving distal fibula with typical sun burst periosteal reaction and adjacent soft tissue swelling is noted, this is diagnostic of osteosarcoma. X-ray of osteosarcoma shows the following features : * An area of irregular destruction in the metaphysis, sometimes overshadowed by the new bone formation. * Periosteal reaction * Codman's triangle * Sun-ray appearance
Musculoskeletal Radiology