Trigger wrist is a relatively rare disease compared to trigger finger, which is the most common disorder found in hands. Patients with trigger wrist usually complain about the following symptoms: snapping and clicking or triggering around carpal tunnel with or without mild to moderate median neuropathy. There are a total of five cases of trigger wrist: three cases of anomalous muscle belly of flexor digitorum superficialis and two cases of fibroma around flexor tendon sheath within carpal tunnel. This study reports on two of those cases: one with anomalous muscle and the other with fibroma of flexor tendon sheath. Accurate examination and proper diagnosis are mandatory to obviate improper and time-wasting treatment for patients with trigger wrist.
Adult ; Female ; Fibroma ; Humans ; Male ; *Tenosynovitis/physiopathology/radiography/surgery ; *Wrist/physiopathology/radiography/surgery

Ossifying fibroma of the sellar turcica is extremely rare. There are only sporadic case reports in the literature. One such case simulating pituitary adenoma is presented in an 18-year-old girl.
Adenoma/diagnosis ; Adolescent ; Diagnosis, Differential ; Fibroma/*radiography ; Humans ; Male ; Osteoma/*radiography ; Pituitary Neoplasms/diagnosis ; *Sella Turcica ; Skull Neoplasms/*radiography

Polyfibromatosis syndrome is a rare disease entity that is characterized by various clinical features such as palmar, plantar, and penile fibromatoses, keloid formations of the skin, and erosive arthropathy. Its precise pathophysiology or etiology remains unclear. In addition to distinctive diverse skin manifestations, patients with polyfibromatosis have been previously reported to show erosive arthropathy with significant limitation of movement at affected joints. However, the presence of erosive polyarthropathy in polyfibromatosis has not emphasized in previous cases. Here, we report a case of polyfibromatosis syndrome combined with painless massive structural destruction of hand and foot joints, and review the characteristics of erosive arthropathy in previous cases.
Adult ; Arthrography ; Diagnosis, Differential ; Fibroma/*diagnosis/pathology/radiography ; Foot Joints/pathology/radiography ; Hand Joints/pathology/*radiography ; Humans ; Magnetic Resonance Imaging ; Male ; Metacarpophalangeal Joint/pathology/radiography ; Osteolysis/*diagnosis/etiology

Calcifying aponeurotic fibroma is a rare soft tissue tumor that occurs in the distal extremities of children and adolescents. We report ultrasound and X-ray findings of a calcifying aponeurotic fibroma in the finger of a 36-year-old woman, associated with distal phalangeal bone involvement.
Adult ; Bone Neoplasms/*radiography/surgery/*ultrasonography ; Calcinosis/*radiography/surgery/*ultrasonography ; Female ; Fibroma/*radiography/surgery/*ultrasonography ; *Fingers ; Humans ; Soft Tissue Neoplasms/*radiography/surgery/*ultrasonography ; Ultrasonography, Doppler, Color

The fibromatosis is a rare timorous with local invasion, but is not metastasized distantly. This term should not be applied to nonspecific reactive fibrous proliferations that are part of an inflammatory process of are secondary to injury of hemorrhage and have no tendency toward growth or recurrence. It arises principally from the connective tissue of muscle and overlying fascia or aponeurosis (musculoaponeurotic fibromatosis), and chiefly affects the muscle of shoulder, pelvic girdle, and extremity. The term 'aggressive fibromatosis' is also employed to describe this disease, but it is impossible to predict the clinical course in the individual case. The fibromatosis arising in the mediastinum is very rare, and the report about it is nearly absent. The plain radiography shows merely mass with soft tissue density. The CT demonstrates a poorly defined homogenous or heterogeneous mass, isodense with skeletal muscle on precontrast-images, and slightly hyperdense to muscle on postcontrast-scan. Accurate delineation between the tumor & surrounding tissue is vague or frequently impossible. The authors experienced one case of the mediastinal fibromatosis recently and report the case with review of concerned literature.
Connective Tissue ; Extremities ; Fascia ; Fibroma* ; Hemorrhage ; Indonesia ; Mediastinum ; Muscle, Skeletal ; Radiography ; Recurrence ; Shoulder

Fibromyxoma of the jaw is a rare benign mesenchymal odontogenic tumor with locally aggressive behavior. In the present report, a 13-year-old female patient presented to our university hospital with delayed eruption of some of her teeth. A panoramic radiograph taken at the initial examination revealed four pericoronal radiolucencies related to the four third molars. Thereafter, a magnetic resonance imaging (MRI) examination was performed. After the surgical removal of these molars, the microscopic examination diagnosed the four lesions as fibromyxomas. Here, we have discussed the clinical, panoramic radiography, MRI, and histopathological findings of the case.
Adolescent ; Female ; Fibroma* ; Humans ; Jaw* ; Magnetic Resonance Imaging ; Molar ; Molar, Third ; Odontogenic Tumors ; Radiography, Panoramic ; Tooth

PURPOSE: To define the natural history and treatment of osteofibrous dysplasia, we compared the clinical courses of two groups: one group with a surgical treatment and the other group with a conservative treatment. MATERIALS AND METHODS: Seven cases (4 male, 3 female) were followed for more than two years (average f/u: 7 years 2 months). Four cases conservatively and three cases operatively by curettage and bone graft. Were treated the clinical and radiological findings of the two groups were compared. RESULTS: Two of three cases that received surgical treatment had been diagnosed with lesion recurrence by radiography, which showed expansion of the cortical shell, resorption of grafted bone, and reactive bone formation. One other case exhibited shrinkage and confinement of the lesion to the anterior cortex. Two cases, which were treated conservatively, showed shrinkage of the lesion and an other two cases showed no change in the size in radiogram. CONCLUSION: Asymmetrical intra-cortical osteolytic lesion of the tibia in children should be suspected as osteofibrous dysplasia and carefully observed until skeletal maturity, unless the structural integrity is seriously endangered.
Child* ; Curettage ; Fibroma, Ossifying ; Humans ; Male ; Natural History ; Osteogenesis ; Radiography ; Recurrence ; Tibia* ; Transplants

radiography and histopathologic findings of sixteen cases of fibro-osseous lesions, we could elucidate diagnostic aids for treatment of benign FO lesion in jaws. Six patients involving fibrous dysplasia complained the facial swelling and facial asymmetry. The radiographic features of the lesions showed ground-glass radiopacity mostly and the histologic findings showed typically Chinese character-shaped trabeculae without osteoblastic rimming in the fibrous stroma. Six patients with ossifying fibroma were notified as swollen buccal cheek state. Their radiographic findings showed cortical expanded radiolucent lesion with sclerotic defined border, which was contrast to the normal adjacent bone. The lesions showed variant radiolucent lesions. Histological findings were revealed as cellular fibrous stroma with woven bones, variable patterns of calcifications. Three patients with cemental dysplasia didn't have specific complaints. Well circumscribed radiopaque lesions on mandibular molar area were observed. Cementum-like ossicles with fibrous stroma were found on microscopic findings. A osteoblastoma case with jaw pain was found. The radiographic feature was a mottled, dense radiopacity with osteolytic border on mandibular molar area. Under microscopy trabecule of osteoid with vascular network were predominantly found. Numerous osteoblast cells with woven bone were found. These clinical, radiographic and microscopic findings of benign fibrous-osseous lesions would suggest diagnostic criteria for each entity of FO lesions.]]>
Asian Continental Ancestry Group ; Cheek ; Facial Asymmetry ; Fibroma, Ossifying ; Humans ; Jaw ; Microscopy ; Molar ; Osteoblastoma ; Osteoblasts ; Radiography

Desmoplastic fibroma of bone is a rare locally aggressive, but non-metastatic tumor. In this case report, we present a desmoplastic fibroma in an unusual location, the clavicle. Desmoplastic fibroma involving the clavicle is extremely rare, with only 2 reported cases before 1985. We report the imaging findings of a desmoplastic fibroma of the clavicle with a review of the relevant literature.
Adult ; Bone Neoplasms/*diagnosis/pathology/radiography ; *Clavicle/pathology/radiography ; Fibroma, Desmoplastic/*diagnosis/pathology/radiography ; Humans ; Magnetic Resonance Imaging ; Male ; Tomography, X-Ray Computed

Papillary fibroelastoma is a rare benign cardiac tumor that represents 10% of all primary cardiac tumors. Diagnosis is accomplished incidentally by echocardiography that is usually performed for another purpose. Most papillary fibroelastomas are asymptomatic, but the lesions are recognized as a cause of embolisms. To the best of our knowledge, there has been no case report of computed tomography findings of a papillary fibroelastoma. We report a case of a papillary fibroelastoma in a 78-yr-old woman who had dyspnea and chest tightness. Echocardiography revealed a small lobulated mobile echogenic mass attached to the aortic valve, and CT demonstrated a lobulated soft tissue density mass with a thin stalk at the sinotubular junction of the aortic valve.
Aged ; Aortography/*methods ; Female ; Fibroma/*radiography/*surgery ; Heart Neoplasms/*radiography/*surgery ; Humans ; Papillary Muscles/*radiography/*surgery ; Tomography, X-Ray Computed/*methods ; Treatment Outcome