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57 - The Acetabular Ache

The Curious Clinicians

CHAPTER

How Much Bone Pain Can Hurt?

The periostium is a thin layer of cells and fibrous tissue that goes around the bone. It has a relatively rich nerve and vascular supply. The majority of your pain, obvious, as maybe our sodan tld, you, would come from the periostrium because it's so richly enervated. Underneath: cortical bone, which is this thick, densely packed layers of mineral deposits. And then spongy bone, or cancellous bone, sometimes called, which is made up of these looser, webbed networks of bone with gaps filled in by bone marrow. For every hundred nerve fibres in thePeriostium, there's only one

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