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Lionel W. Young, MD; James W. Lowell, MD; Bertram R. Girdany, MD

Am J Dis Child. 1980;134(2):195-196.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

This 5-year-old girl was referred to an orthopedic surgeon because of pain in her left wrist for a period of weeks. Three months previously, she had hurt the dorsum of her left hand and wrist in a fall. The lateral aspect of the dorsum of the hand was swollen. A roentgenogram of the left hand was obtained (Fig 1 and 2). A chest roentgenogram was normal. Skin tests for microbacterial and fungal causes were negative. A complete blood cell count was normal. The carpal lesion underwent biopsy and was partially resected.

Denouement and Discussion

Juvenile Aponeurotic Fibroma

Microscopie examination of sections of the lesion (Fig 3 and 4) showed degenerating focally hyalinized fibrocartilagenous tissue and fragments of proliferating fibroblastic cells arranged in nodules, palisading or intertwining tangles of eosinophilic spindle-shaped cells. Nuclei were oval or spindle shaped, moderately hyperchromatic, and uniform in size. Several islands of cartilagenous metaplasia with focal calcification were present . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Radiology (Dr Lowell), St Joseph Mercy Hospital, Pontiac, Mich; and the Department of Radiology (Dr Girdany), Children's Hospital of Pittsburgh.

Footnotes
Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr Young).

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