Non-ossifying Fibroma-Plain Film
Adolescent with pain after trauma shows intramedullary lesion consistent with Non ossifying fibroma
Teaching points by Dr MGK Murthy & Dr Sumer Sethi
Ø 30 to 40% of children above 2 yrs show in one (75%)or more (25%) bones
Ø Usually lower extremities 90%
Ø Etiology is not known, but could be developmental aberration at epiphysis or muscle pull with periosteal injury as it occurs only after 2 yrs
Radiology
Ø Geographic/well marginated/lytic/multilobulated, foamy, mildly expansile/metaphyseal/usually purely intramedullary/eccentric /sclerotic rim/with endosteal sclerosis lesion on all modalities
Ø Heal with replacement by normal bone
Ø Pathological fracture is possible if involves more than 50% of bone diameter or more than 33mm in size
Ø Associated with Neurofibromatosis/Osggod-schlatter disease/osteochondritis patella and femur/perthes disease
Non-ossifying Fibroma-Plain Film
Reviewed by Sumer Sethi
on
Tuesday, November 15, 2011
Rating:
Reviewed by Sumer Sethi
on
Tuesday, November 15, 2011
Rating:
Sumer Sethi
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
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