Osteofibrous dysplasia of the tibia: A case report

Abstract

Osteofibrous Dysplasia is an uncommon condition of childhood (< 10 years), most often affecting the tibial diaphysis confining to the cortices. Also known as Ossifying fibroma and Campanacci lesion. Histologically and radiologically OFD resembles fibrous dysplasia and adamantinoma respectively and differentiating the conditions might at times become challenging due to their overlapping features. Choosing a right way to manage, also becomes an important aspect in deciding the quality of life post operatively. We describe the case of a 4 year old male with an alleged history of fall which led to an incidental diagnosis of OFD of left Tibia. Radiographs were s/o OFD and we tried to manage it surgically by marginal excision along with application of synthetic bone graft under general anesthesia. Earlier literature and research on OFD was preoccupied with differentiating it from other conditions and whether or not it takes a benign course. But, we would here like to concentrate on various other important aspects like requirement of a high index of suspicion for diagnosis and its diverse management.