Pathological fractures of long bones of the skeleton in children and adolescents in benign tumors and tumor-like diseases

Abstract

This article provides an analysis of 82 patients for the period from 2000 to 2018 aged 5 to 18 years with pathological fractures of the long bones of the skeleton on the basis of benign tumors and tumor-like diseases. Most often, fractures were observed with a solitary bone cysts - 24, an aneurysmal bone cyst - 19, fibrous dysplasia - 20, neosteogenic fibroma - 7, Ollier’s disease - 6, osteofibrous dysplasia - 2, giant-cell tumor - 3, hemangioma - 1. On the basis of the Department of Pediatric Bone Pathology and Adolescent Orthopedics of N.N. Priorov National Medical Research Center of Traumatology and Orthopedics all patients underwent a comprehensive physical exams and surgical treatment. The clinical and radiological picture was studied and the features of the course of pathological fractures were revealed depending on the nosology of the tumor process. It is shown that when a pathological fracture occurs, the treatment approach should be individualized depending on the location of the focus, the patient’s age and nosology.