Author(s): Dr. Prince Uchadiya, Dr. SS Bava, Dr. Sujata Aiyer and Dr. Rajendra Phunde

Abstract: Introduction: Fibrous dysplasia represents a non-malignant lesion that arises from a developmental anomaly during the process of woven bone remodeling. Typically, these lesions are monostotic and asymptomatic, they may present as polyostotic, predominantly affecting the long bones, ribs, and craniofacial skeletal structures. Case presentation: We present a rare case of polyostotic fibrous dysplasia with bilateral tibial involvement and associated endocrinopathy of hyperthyroidism and hyperparathyroidism. There are very few reported cases in the literature. A 22-year-old male presented with bilateral tibial pathological fracture after trivial trauma, with radiographs showing lytic lesion in bilateral tibial shaft. The patient was managed conservatively due to the associated medical comorbidities, hyperthyroidism, and thyroid storm. Conclusion: This case presents an unusual presentation of polyostotic fibrous dysplasia with bilateral tibia lesions and pathological fracture with associated endocrinopathy. It was managed conservatively, and the fracture united at a faster rate than what was expected from literature, suggesting that these can be treated conservatively without the need for internal fixation with autogenous or allogenous bone grafts.

DOI: 10.22271/27078345.2024.v6.i2a.218

Pages: 30-33 | Views: 230 | Downloads: 84

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