M. Muschol et al., Two benigne bone lesions at one tubular bone: Misinter-pretation of clinical and radiological symptoms., Z ORTHOP GR, 138(2), 2000, pp. 159-161
Introduction: Bone lesions are common at puberty, Most of them are detected
by chance at examination for other reasons, The nonossifying fibroma does
not produce any clinical symptoms and normally is diagnosed by chance. A sp
ontaneous healing is discussed. The osteoid osteoma is characterized by its
nocturnal pain and relief of pain at therapy with salicylates. Operative p
rocedures are indicated for healing, Case: A 12-year-old girl presented wit
h radiological signs of a nonossifying fibroma. Because of local radionucli
d uptake and clinical symptoms an operative procedure was carried out. Post
operative remaining pain resulted in radiological detection of a nearby ost
eoid osteoma and local operative therapy. Conclusion: Two benign bone lesio
ns at one tubular bone are an extremely rare situation. The clinical sympto
ms and the radionuclid uptake are misinterpretated and falsely assigned to
the nonossifying fibroma. All clinical symptoms and radiological signs have
to be correlate correctly with the diagnosis and consecutive therapy in or
der to avoid a misinterpretation of obvious clear radiological results.