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The Journal of Bone and Joint Surgery 81:1002-7 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Florid Reactive Periostitis Ossificans of the Proximal Aspect of the Tibia: A Lesion That Must Be Distinguished from Osteosarcoma. A Case Report*

EARL W. BRIEN, M.D.{dagger}, CHRISTOPHER A. ZAHIRI, M.D.{dagger} and JOSEPH M. MIRRA, M.D.{dagger}, LOS ANGELES, CALIFORNIA

Investigation performed at the Orthopaedic Oncology Service, Orthopaedic Hospital, Los Angeles


   Introduction
 
Florid reactive periostitis ossificans is a benign lesion that was first described, to the best of our knowledge, by Spjut and Dorfman in 198113. It has been reported exclusively in the tubular bones of the hands and feet1-8,10-14. Typically, this lesion affects adolescents and young adults and presents as a swollen, painful, and erythematous finger or toe. Spjut and Dorfman reported that the lesion appears benign radiographically but could be mistaken for a variety of malignant lesions, especially osteosarcoma, on histological examination13. Magnetic resonance imaging scans often demonstrate massive signal changes within the soft tissue that are consistent with infection, trauma, or a tumor of the soft tissue or bone. We report the case of a five-year-old girl who was followed clinically and radiographically after the diagnosis of florid reactive periostitis ossificans involving the proximal aspect of the tibia. To our knowledge, we are the first to . . . [Full Text of this Article]


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