Fibrous cortical defect

Case contributed by Oyedepo Victor Olufemi
Diagnosis almost certain

Presentation

Vague pain in the left leg following trauma from sport injury

Patient Data

Age: 10 years
Gender: Male
x-ray

Well-marginated unilocular lucencies with sharp sclerotic borders are seen in the distal metadiaphyseal cortex of the tibia and fibula.  No evidence of periosteal reaction, matrix mineralization of overlying soft tissue changes. 

Features are those of Fibrous cortical defects

Case Discussion

Fibrous cortical defects (FCDs) are benign bony lesions which are usually small in size, occur in skeletally immature children between age 2-15 years, and are usually asymptomatic. They are typically seen in the distal femur, proximal and distal tibia. The location of this lesion, its size, metadiaphyseal location, and the bones involved all support FCDs. 

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