Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a known or suspected tibial lesion. History is notable for [asymptomatic swelling / localized anterior tibial pain / incidental radiographic finding]. No history of trauma, constitutional symptoms, or systemic bone disease. Lesion is located in the anterior tibial cortex, consistent with osteofibrous dysplasia.
Clinical Examination Findings
Physical examination reveals a palpable, firm, non-tender mass along the anterior aspect of the mid-tibia. No overlying erythema, warmth, or skin changes. Range of motion of the knee and ankle is full and painless. Neurovascular status of the distal extremity is intact with palpable dorsalis pedis and posterior tibial pulses. No limb length discrepancy noted.
Treatment Protocol
Management plan includes serial radiographic surveillance to monitor for lesion progression or cortical expansion. Activity modification as needed for pain. Surgical intervention (curettage and bone grafting) is reserved for cases of significant cortical thinning, pathological fracture, or progressive deformity. Regular follow-up scheduled every [6-12] months.