This case consistently presents a cortical desmoid as an incidental finding in a patient with recent trauma. However, it's essential to recognize that a cortical desmoid is not histologically associated with true desmoid tumors. It represents a 'tug' lesion due to repetitive stress at the attachment of the medial head of gastrocnemius or distal adductor magnus at the posterior medial aspect of the distal femoral metaphysis, and it is a “don’t touch” lesion.