By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Michael S. Barry, DC, DACBR History A 10-year-old male gymnast presents with post-traumatic ankle pain following a fall from the platform bar. Radiographic examination reveals: Figure 1. Diagnosis: Nonossifying fibroma (fibrous xanthoma) of the distal tibial metaphysis with a spiral pathological fracture. Fibrous Xanthoma of Bone—Nonossifying
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, Michael S. Barry, DC, DACBR, and Chad J. Maola, DC History This adult male patient complains of chronic pain in the finger with an enlarging mass. What is your diagnosis? Diagnosis Malignant degeneration of a previously benign solitary enchondroma. General Considerations Solitary enchondroma is a common benign
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR and Chad J. Maola, DC Case History This 10-year-old male soccer player complaining of knee pain and shin splints was taken to his family medical doctor by his mother. She was told he needed no X-rays (since there had been no trauma) and was diagnosed with “growing
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History This young adult presents with pain in the hip after suffering trauma. Is there a fracture? DIAGNOSIS Monostotic Fibrous Dysplasia. Observe the geographic radiolucency just below the lesser trochanter. There is a “ground glass” matrix and a sclerotic border.
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC CASE HISTORY This 25-year-old male patient had low back trauma. The femoral lesion was asymptomatic and discovered by chance. What’s the diagnosis? DIAGNOSIS This geographic radiolucency with a “ground glass” appearance is characteristic of monostotic fibrous dysplasia (Figs. 1 & 2). DISCUSSION
Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC CASE HISTORY This 18-year-old male patient complains of neck pain. What’s your diagnosis? Diagnosis Neurofibromatosis. Observe the posterior vertebral body scalloping at C4–C7 and kyphotic curve which is typical of neurofibromatosis. GENERAL CONSIDERATIONS Neurofibromatosis is classified into two clinical forms: neurofibromatosis 1 (von
By: Terry R. Yochum, DC, DACBR, Fellow, ACCR, and Chad J. Maola, DC Case History: This 60-year old male patient has low back and hip pain. Diagnosis: Osteoblastic metastatic lesions are scattered throughout the sacrum, pelvis and femurs. Discussion The sacrum and bones of the pelvis are involved in about 12% of skeletal metastases and may