Pathological fracture of humerus - simple bone cyst

Case contributed by Melisa Ramiro RRT
Diagnosis almost certain

Presentation

Left arm trauma

Patient Data

Age: 7 years
Gender: Female

Pathological fracture of the proximal diaphysis of the left humerus, on top of radiolucent benign-looking medullary lesion, likely simple bone cyst. A fallen fragment sign is seen. The rest of the visualized bones and joints show normal alignment, morphology and density.

Conclusion: Pathological fracture of the diaphysis of the left humerus.

Case Discussion

Assessment/Plan

The patient is alert, oriented and in no acute distress. Above elbow backslap applied and arm sling. Referred to orthopedic surgeon for better evaluation.

Special thanks to:

  • Dr Ajay Prashant Dsouza (Consultant and Head of Radiology)
  • Dr Muhammad Anwar (Consultant Radiologist)
  • Dr Elham El Gably (Consultant Radiologist)
  • Jukha Shater Ali Al Badawi (Radiology Manager)

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