Osteofibrous dysplasia, also known as ossifying fibroma or Campanacci lesion, is a rare form of fibrous dysplasia which usually affects the tibia. The lesion usually affects children younger than 20 years old with a predominance among males. The lesions usually regress and do not cause problems in adulthood. Its pathology features are similar to those of fibrous dysplasia except there is also osteoblastic rimming. In osteofibrous dysplasia, there is a proliferation of fibroblasts with surrounding islands of woven bone and osteoblastic rimming. Herein we report a rare case of osteofibrous dysplasia over acromion and scapula in a thirty-year-old male.