Proximal femur pathological fracture secondary to aneurysmal bone cyst in a child

Sajjanshetty, Rajesh; Timothy, Jozy

doi:10.22271/ortho.2019.v5.i3b.1507

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…The growth phase is succeeded by period of stabilization, in which the characteristic soap bubble appearance develops, as a result of maturation of bony shell. Final healing stage results in progressive calcification and ossification, with the lesion transformed into a dense bony mass [ 6 ]. The current case was consistent with stabilization phase of ABC.…”

Section: Discussionmentioning

confidence: 99%

An Uncommon Case Report: Pathologic Fracture in a Proximal Femur Aneurysmal Bone Cyst in a Child

Sonkusale¹,

Gandhi²,

Jadhav³

et al. 2023

JOCR

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Introduction: Aneurysmal bone cysts (ABCs) are a group of benign, expansile, locally aggressive lesion characterized by fluid-filled cysts usually in the metaphyseal end of long bones. They usually affect children and young adults, with an atypical etiology and uncommon presentation. Treatment modalities include en bloc resection and curettage with or without bone graft or bone substitute augmentation with instrumentation, sclerosing agents, arterial embolization, and adjuvant radiotherapy. Case Report: We report a rare case of ABC with pathological fracture in the proximal femur of a 13-year-old male patient, who presented to the emergency department with severe pain in the right hip and inability to walk following trivial fall while playing. Curettage with open biopsy was performed followed by implantation with modified hydroxyapatite granules and internal fixation for the subtrochanteric fracture with pediatric dynamic hip screw and four hole plate, with a favorable outcome. Conclusion: There is a lack of a standard guideline for the management on account of uniqueness of these cases; curettage with bone graft or bone substitutes in conjunction with internal fixation of associated pathologic fracture yields bony union with adequate clinical results. Keywords: Aneurysmal bone cyst, pathological fracture, proximal femur.

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Section: Discussionmentioning

confidence: 99%

An Uncommon Case Report: Pathologic Fracture in a Proximal Femur Aneurysmal Bone Cyst in a Child

Sonkusale¹,

Gandhi²,

Jadhav³

et al. 2023

JOCR

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“…In the initial phase, the lesion is characterized by a well-defined area of osteolytic with discrete elevation of the periosteum which is followed by a growth phase, which consists of rapidly growing lesion with progressive destruction of bone. [2] The growth phase is followed by a period of stabilization, during which the bony shell matures and takes on the characteristic soap bubble appearance. Finally there is healing step that causes lesion to calcify and ossify, transforming into dense bone mass.…”

Section: Discussionmentioning

confidence: 99%

“…[1] Most common bone to be affected is the proximal part of femur. [2] It causes extensive weakening of the bony structure and impinging on the surrounding tissues. Histologically it is classified as Conventional / vascular type (that is rapidly growing extensive lesion), solid type, and a mixed type.…”

Section: Introductionmentioning

confidence: 99%

A Case Report: Aneurysmal Bone Cyst Of Proximal Femur With Subtrochanteric Femur Fracture In A Child

Lohiya¹,

Dudhekar²,

Vasavada³

et al. 2022

Journal of Pharmaceutical Negative Results

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Aneurysmal bone cysts are blood-filled lesions of the bone that are benign, expansile, aggressive, and locally damaging. They havean atypical presentation and an unknown etiology. We present the case of a 17-year-old male youngster who appeared with a historyof trauma that resulted in a pathological left femur fracture. A subtrochanteric fracture complicated a slowly forming aneurysmalbone cyst in the proximal femur. Excision of the tumor with curettage and open reduction with internal fixation with a titanium elasticnail were successful treatments, and the empty space was replaced with bone graft from the left iliac crest. The gold standard fordiagnosis is a biopsy. Bone grafting should be used in conjunction with fracture fixation to achieve bony union.

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Proximal femur pathological fracture secondary to aneurysmal bone cyst in a child

Cited by 2 publications

References 8 publications

An Uncommon Case Report: Pathologic Fracture in a Proximal Femur Aneurysmal Bone Cyst in a Child

An Uncommon Case Report: Pathologic Fracture in a Proximal Femur Aneurysmal Bone Cyst in a Child

A Case Report: Aneurysmal Bone Cyst Of Proximal Femur With Subtrochanteric Femur Fracture In A Child

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