Dirk Schaper, V. Hofmann (Kinderchirurgie Barbara-Krankenhaus Halle)  

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12 Years  

Male  

Arm-Bones  

unknown  

12 year-old boy with pain in the proximal upper arm after minimal trauma. Motor function, vascularisation and sensitivity were intact.  

N/A  

<- view X-Ray 1

X-Ray 1: Trauma image, proximal fracture of the humerus, thinning of the compacta.






<- view CT 1

CT 1: Presentation of a cystic structure in the proximal upper arm.




<- view X-Ray

X-Ray 2: Follow-up after intramedullary marrow splint




<- view X-Ray 3

X-Ray 3: After 6 months of splinting treatment



 

Total constellation (Consens)  

aneurysmatic bone cyst  

Reposition of the pathologic fracture and retention with titanic splints. Good healing of the fracture and rebuilding of the bone cyst.  

With different possibilities, the intramedullary splinting of pathologic fractures due to juvenile bone cysts has proven itself. One assumes that the splinting stabilizes the fracture as well as creates a connection between the marrow and the cystic cavity, which promotes healing.  

N/A  

1. Medline:
Cohen J.
Intramedullary nailing for the treatment of unicameral bone cysts
J Bone Joint Surg Am. 2001 Aug;83-A(8):1279-80

2. Medline:
Knorr P, Schmittenbecher PP, Dietz HG.
Treatment of pathological fractures of long tubular bones in childhood using elastic stable intramedullary nailing
Unfallchirurg. 1996 Jun;99(6):410-4  

Juvenile bone cyst, aneurysmatic bone cyst, pathologic fracture, juvenile, bone cyst, child, childhood, pediatric radiology  

Dirk Schaper, V Hofmann. Pathologic fracture with juvenile bone cyst. PedRad [serial online] vol 3, no. 6.
URL: www.PedRad.info/?search=20030615152616