Presentation
Wrist pain post trauma.
Patient Data
Well-defined sclerotic cortically based lesion present at the radial aspect of the distal radius, measuring up to 2.8cm. The lesion has a somewhat ground glass appearance but no evidence of bony expansion or periosteal reaction. No fracture or traumatic bony injury is identified.
Case Discussion
Benign appearing cortically based sclerotic lesion in the distal radial diaphysis, may represent non-ossifying fibroma, or less likely fibrous dysplasia. Focal symptoms at this point (but noting recent history of trauma) would be an indication for further assessment with CT or MRI.