Cortical desmoid and the four clinical scenarios

Arch Orthop Trauma Surg. 2009 Jun;129(6):779-85. doi: 10.1007/s00402-008-0687-6. Epub 2008 Jul 9.


We reviewed four patients diagnosed with a cortical desmoid lesion at the distal posterior medial femur. Each case reflects a clinical scenario that can be present. Cortical desmoid is a benign, self-limited entity which occasionally can exhibit aggressive radiologic features. Here, we present the specific imaging features in association with patients history and clinical findings facilitating establishment of correct diagnosis. Exact diagnosis is important in order to avoid unnecessary biopsy and complicated therapeutic strategies.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Arthroscopy
  • Diagnosis, Differential
  • Female
  • Femoral Neoplasms / diagnosis*
  • Femoral Neoplasms / therapy
  • Fibromatosis, Aggressive / diagnosis*
  • Fibromatosis, Aggressive / therapy
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Menisci, Tibial / pathology
  • Tibial Meniscus Injuries