Introduction: Aneurysmal bone cyst is a rare, non-neoplastic lesion affecting the metaphysis of long bones and vertebrae, characterized by blood-filled spaces separated by fibrous septae. Aims and objectives: In this study, we present a case of an aneurysmal bone cyst in a 7-year-old child with characteristic X-ray findings to increase awareness as early diagnosis and treatment can limit disability. An aneurysmal bone cyst is a rare, benign neoplastic lesion affecting the metaphysis of long bones and vertebrae, characterized by blood-filled spaces separated by fibrous septae.[1] Diagnosis depends on typical features of magnetic resonance imaging, and confirmation by biopsy is essential before surgery is considered. We present an aneurysmal bone cyst in a 7-year-old child with characteristic X-ray findings. Diagnosis of ABC should be suspected in young patients presenting with limb pain or swelling, and pain disproportionate to the mechanism of injury could indicate pathologic fracture. Early detection of ABC is possible as an incidental finding by closely examining routine X-rays so that appropriate treatment can be instituted early and complications like pathologic fractures can be avoided. This case will help to increase awareness as early diagnosis and treatment can limit disability.
Background: Developmental Dysplasia of the hip (DDH) is a condition where the head of the femur is dislocated from its normal position and is usually diagnosed in the new-born. In this study we present a case of missed DDH in a 17month-old child with characteristic X ray findings, to increase its awareness as early diagnosis and treatment can limit disability. Case information: A 17-month-old female child was brought to Urgent Care Centre by her granddad as he noticed that the child was limping. The child was born during the pandemic and the health visitor checks were all over the phone. There was no history of any trauma. Radiographic appearances were consistent with developmental dysplasia of the right hip. Discussion: DDH is usually diagnosed at birth, however, missed cases can occur due to lack of repeated clinical examinations especially in view of the pandemic. Early diagnosis and treatment are very important as timely reduction permits normal modelling of the acetabulum and femoral head. Physical examination is the key in the diagnosis of DDH. Conclusion: Careful, repeated face to face clinical examination by healthcare provider in contact with the infant is essential throughout the first year of life to diagnose DDH early.
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