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Osteoid osteomas are benign osteoblastic tumours encountered relatively commonly among skeletal lesions. Despite distinct clinical ndings, atypical presentations make for a challenging or delayed diagnosis which may negatively a ect a patient's quality of life in the interim. We present the case of a young female rugby player with a subperiosteal osteoid osteoma of the distal bula -a rare location for this type of tumour.doi:10.7196/sajsm.499 fatcat:c2k42lt2afbglcck5vlhxbhjwy