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Periosteal desmoid.

Moazzam Murad1, Vaqar Bari, M Zafar Rafique

  • 1Radiology Department, Aga Khan University Hospital, Karachi.

JPMA. the Journal of the Pakistan Medical Association
|February 27, 2007
PubMed
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Periosteal desmoid, a benign fibrous lesion from micro trauma, was diagnosed in a 14-year-old boy experiencing right knee pain. Imaging confirmed the diagnosis, highlighting this common sports-related injury in adolescents.

Area of Science:

  • Orthopedics
  • Radiology
  • Sports Medicine

Background:

  • Periosteal desmoid is a benign, reactive fibrous lesion.
  • It arises from repetitive microtrauma, often seen in active individuals.
  • Understanding its etiology is crucial for accurate diagnosis and management.

Observation:

  • A 14-year-old male presented with right knee pain.
  • Initial evaluation included plain radiography.
  • A subsequent radionuclide bone scan was performed.

Findings:

  • The imaging findings were consistent with periosteal desmoid.
  • This benign tumor-like lesion was identified as the cause of the patient's pain.
  • The diagnosis was confirmed through a combination of clinical presentation and imaging.

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Implications:

  • This case highlights the importance of considering periosteal desmoid in adolescents with activity-related knee pain.
  • Appropriate imaging modalities are essential for differentiating this benign condition from more serious pathologies.
  • Early and accurate diagnosis can prevent unnecessary interventions and guide appropriate conservative management.