Nonossifying Fibroma

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 

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Radiology Corner – Monostotic Fibrous Dysplasia

  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. 

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Radiology Corner – Neck Pain: What’s Your Diagnosis?

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 

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