Non-ossifying fibroma

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis almost certain

Presentation

Incidental finding on shoulder x-ray imaging after trauma.

Patient Data

Age: 15 years
Gender: Female
x-ray

Shoulder x-ray demonstrates a well circumscribed lucency in the proximal end of the humerus. The margins are sclerotic. No periosteal reaction is present.

Case Discussion

Non-ossifying fibromas tend to present in adolescents and young adults ,with well defined lucent lesion with a sclerotic margin.

It is frequently an incidental finding when a radiograph is performed for alternative purposes, such as to assess for a fracture following trauma.

The differential includes; fibrous cortical defect, aneurysmal bone cyst, and fibrous dysplasia.

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