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Staging Systems (Enneking, AJCC)

Prepared by Dr. Ahmet Mucteba YILDIRIM Staging plays a crucial role in treatment planning and prognosis estimation for primary bone and soft tissue tumours. The two main systems used in orthopaedic oncology are: Enneking Staging System (commonly used in surgical planning) AJCC TNM Staging System (widely used in oncology)  1. Enneking Staging – Bone Sarcomas…

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Imaging Principles

prepared by Dr. Alper DUNKI Plain radiography remains the first-line and often diagnostic in most bone tumors, while CT provides detailed cortical and 3D anatomical evaluation. MRI offers superior soft-tissue and marrow contrast, essential for assessing intramedullary extension and surgical margins. PET/CT assist in detecting metastases and evaluating treatment response. 1. Introduction 2. Plain Radiography…

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Soft Tissue Tumor Classification

prepared by Dr. Hakan ESKARA The WHO introduced the classification of soft tissue and bone tumors (fifth edition) in 2020.The new WHO classification of soft tissue and bone tumors, introduced in 2020 (fifth edition), has made significant improvements in classification and introduced many new diagnoses. Histologic Subtypes of Soft Tissue Sarcomas 1. Undifferentiated Pleomorphic Sarcoma…

Long-Term Patient-Reported Outcomes After Nonoperative Treatment of Distal Radial Fractures: What CT-Based Gaps and Step-Offs Can Be Accepted?

The historical 2 mm “rule” was originally based on plain radiographs linking step-off > 2 mm to radiographic osteoarthritis, not to functional outcome. Modern CT evaluation allows more precise measurement of intra-articular displacement, revealing that slightly greater incongruities can be tolerated without long-term disability. Nonoperative management remains valid for selected moderately displaced fractures after shared…