Abstract
The periosteum is a thin fibrous tissue in a form of fibro-vascular membrane which covers the outer surface of bones. On conventional radiography normal periosteum is completely invisible. The periosteum can be visualized when it is elevated by underlying pathology. Periosteal reaction can be unilateral or bilateral, or localized and generalized. Depends on how fast it takes periosteum to react, it can be divided into aggressive and non-aggressive. The role of computed tomography as superior method vs. nuclear magnetic resonance, ultrasonography or scintigraphy, has been noticed a long time ago.
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