“…The appearance of such TPR varies depending on the stage of healing—patches of porous woven bone on the periosteum indicate active lesions, whereas lamellar striations indicate healing (Larsen, 2015). TPR has many aetiologies that can be indistinguishable, including localized trauma, burns, chronic lung disease, infection, malignancy, venous stasis, malnutrition, scurvy, rheumatological conditions, and congenital metabolic bone disease (Rana et al, 2009; Roberts & Manchester, 2010b; Weston, 2008).…”