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Papers of the Week

2019 May

Orthop Traumatol Surg Res



Intra-medullary osteosclerosis of the tibia in children.


Barbier D, Journeau P, Lascombes P, Dohin B, Cottalorda J, Sales de Gauzy J
Orthop Traumatol Surg Res. 2019 May; 105(3):551-556.
PMID: 30975636.


Intra-medullary osteosclerosis of the tibia is a rare condition characterised by chronic pain due to diaphyseal hyperostosis with no detectable triggering factor. The main differential diagnoses are stress fracture and osteoid osteoma. Of the few cases reported to date, most were in adults. The objective of this study was to assess paediatric patients with intra-medullary osteosclerosis to determine whether the first visit provides sufficient information to establish the diagnosis and rule out both osteoid osteoma and stress fracture, whether a biopsy is required, and which treatment is optimal.