Article Text

Download PDFPDF
Case report
Juvenile psammomatoid ossifying fibroma of the calcaneus
  1. Rachel L Semus,
  2. Elizabeth Zielinski and
  3. William C Foster
  1. Department of Orthopaedics, Virginia Commonwealth University, Richmond, Virginia, USA
  1. Correspondence to Dr Rachel L Semus; rachel.semus{at}


Juvenile ossifying fibromas (JOFs) are a rare group of fibro-osseous lesions, typically of odontogenic origin. Juvenile psammomatoid ossifying fibroma (JPOF) is one variant, that is, histopathologically distinguished by spherical ossicles resembling psammoma bodies. JPOF tumours are most commonly found in craniofacial skeletal structures and can be locally aggressive. Thus, early management by complete surgical excision is crucial for good outcomes, although recurrence is still possible. Secondary aneurysmal bone cyst (ABC) formation has been reported with JOF lesions, but less commonly with the JPOF variant. We describe an unusual case of JPOF that presented in the calcaneus with secondary ABC formation.

  • orthopaedics
  • paediatrics
  • oral and maxillofacial surgery
  • orthopaedic and trauma surgery
  • paediatric surgery

Statistics from


  • Contributors RLS performed literature review collected case data and drafted the manuscript. EZ provided overall direction and planning as well as consulted on the manuscript with draft revisions. WCF gave the idea to write this case report and was available for oversight.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.