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Journal of Bone and Joint Surgery - British Volume, Vol 83-B, Issue 8, 1178-1180.
doi: 10.1302/0301-620X.83B8.12114  
Copyright © 2001 by British Editorial Society of Bone and Joint Surgery
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OSTEOFIBROUS DYSPLASIA OF THE ULNA

S. Kamineni, FRCS Orth, Elbow Surgery Fellow; and T. W. R. Briggs, FRCS, MCh Orth, Consultant Orthopaedic Surgeon

Department of Orthopaedic Surgery

A. Saifuddin, FRCR, Consultant Radiologist

Department of Radiology

A. Sandison, MRCPath, Consultant Pathologist

Department of Pathology, The Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.

Correspondence should be sent to Mr. T. W. R. Briggs.

Osteofibrous dysplasia is a rare condition usually affecting the tibiae and fibulae of males in the first two decades of life. Involvement at the ulna has also been reported in some cases. We describe an extensive, rapidly progressive lesion of the ulna in a three-year-old girl. The progression of the disease accelerated after a local marginal removal, and required extensive resection of the ulna with reconstruction using a fibular autograft.

The particular features of this case are the change in the aggressive nature of the condition, which has not been previously reported. We believe that this is only the second recorded case of histologically proven involvement of the ulna.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General