Osteofibrous dysplasia: a narrative review

J Orthop Surg Res. 2024 Mar 27;19(1):204. doi: 10.1186/s13018-024-04682-3.

Abstract

Osteofibrous dysplasia (OFD) is a rare, benign, self-limited bone disorder with a relatively low incidence, accounting for approximately 0.2% of all primary bone tumors. It was frequently found intra-cortical of the mid-shaft of the tibia. OFD can also occur in other skeletal regions, including the fibula, ulna, radius, femur, humerus, ischium, rib, tarsus, metatarsals, vertebral, and capitate. OFD can present with asymptomatic, mass, pain, swelling, deformity, and even pathological fracture. OFD might be misdiagnosed as adamantinoma (AD) and because they are three subtypes origin from the same family of bone tumors and have similar imaging features. Moreover, pathology could provide evidence for an accurate diagnosis of OFD, but misdiagnosis may occur due to small sampling materials. To date, few studies have comprehensively introduced the epidemiology, clinical manifestations, pathogenesis, radiological features, pathology, and treatment for OFD. We herein discuss clinical signs, diagnosis methods, and treatment options of OFD to improve the understanding of OFD, which is helpful for accurate diagnosis and appropriate treatment.

Keywords: Adamantinoma; Fibrous dysplasia; Osteofibrous; Osteofibrous dysplasia.

Publication types

  • Review

MeSH terms

  • Adamantinoma* / pathology
  • Bone Diseases, Developmental* / diagnostic imaging
  • Bone Diseases, Developmental* / therapy
  • Bone Neoplasms* / pathology
  • Fibrous Dysplasia of Bone* / diagnostic imaging
  • Fibrous Dysplasia of Bone* / pathology
  • Humans
  • Tibia / pathology

Supplementary concepts

  • Osteofibrous Dysplasia