The mnemonic
Onion Ewing, Sunburst Osteo
What each word stands for
- OnionOnion-peel reaction in Ewing sarcoma
- SunburstSunburst reaction in osteosarcoma
Why it matters clinically
A frequent radiology image question.
Where it stops being reliable
Other lesions can also show an aggressive periosteal reaction.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.