Differences in perioperative complications and outcomes based on racial and ethnic disparities have been well documented in orthopedic surgery. A systemic review showed that racial and ethnic minority populations were at increased risk of perioperative complications and mortality following spine and arthroplasty surgery. 1) In this review, the authors showed that 77% of the studies assessing differences for African Americans reported healthcare inequalities compared to whites. Similarly, 44% and 36% of these studies assessing differences for Hispanics and non-whites recorded disparities in care as well, respec

Level IV-retrospective cohort study.

Primary rhabdomyosarcoma of the bone is an extremely rare condition with few examples reported in the literature. We present the case of a 34-year-old male who presented with a lesion in the distal femur with initial imaging features consistent with Ewing sarcoma. Histologically, the lesion consisted of atypical pleomorphic polygonal rhabdomyoblasts demonstrating focal desmin and myogenin expression. A diagnosis of pleomorphic rhabdomyosarcoma was rendered. Despite systemic treatment and surgery, this patient experienced a rapidly progressive disease course. We believe this is only the second report in the orthopedic literature of a case of primary pleomorphic rhabdomyosarcoma of the bone. The key imaging, pathologic, and clinical findings are discussed.