Osteopoikilosis: an Incidental Finding in a Patient with Olecranon Fracture

Osteopoikilosis (OPK) or osteopathia condensans disseminate or spotted bones is a benign osteosclerotic dysplasia of unknown origin. It is an inherited autosomal disorder. It is usually detected as a coincidental finding at radiographic examination. Both sexes are equally affected. The condition is usually asymptomatic. The most common localization of these lesions is in the phalanges of the hand, carpal bones, metacarpals, metatarsals, foot phalanges, pelvis, femur, and humerus. They are occasionally associated with cutaneous lesions as well as other osteosclerotic skeletal disorders. We report a case who presented to us in emergency with fracture of olecranon. On reviewing radiographs, in addition to olecranon fracture; diffusely distributed round sclerotic foci were also seen. These findings were strongly suggestive of osteopoikilosis.