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Unicameral bone cyst with associated pathological fracture

Patterson RAP - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Unicameral bone cyst with associated pathological fracture

History: 13 year old boy presents to ER with 9/10 left upper arm pain that occurred suddenly while playing catch with his father. The pain is localized, does not radiate, and is characterized as constant without relief. Patient denies any parathesia, loss of strength, function, or sensation.

Findings: Anteroposterior radiograph of the left humerus shows a fiberglass cast around the left humerus. There is an oblique fracture through a radiolucent bone cyst of the left humerus at the junction between the proximal and mid diaphysis with approximately 4 mm of medial displacement and slight dorsal angulation. The cyst measures 1.9 X 4.2 cm in dimensions.

Ddx: Unicameral bone cyst with associated pathological fracture

Exam: His physical exam is non-contributory except for the left arm exam. No deformity is apparent and skin is intact. He has extreme pain to palpation of the left upper extremity. Passive and active shoulder, elbow and wrist ROM are WNL and only limited by the aforementioned pain. Pt has no neurovascular deficits in the ipsilateral elbow or wrist.

No MeSH data available.


Anteroposterior radiograph of the left humerus shows a fiberglass cast around the left humerus.  There is an oblique fracture through a radiolucent bone cyst of the left humerus at the junction between the proximal and mid diaphysis with approximately 4 mm of medial displacement and slight dorsal angulation.  The cyst measures  1.9 X 4.2 cm in dimensions.
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MPX2220_synpic26303: Anteroposterior radiograph of the left humerus shows a fiberglass cast around the left humerus. There is an oblique fracture through a radiolucent bone cyst of the left humerus at the junction between the proximal and mid diaphysis with approximately 4 mm of medial displacement and slight dorsal angulation. The cyst measures 1.9 X 4.2 cm in dimensions.


Unicameral bone cyst with associated pathological fracture

Patterson RAP - MedPix (2005)

Anteroposterior radiograph of the left humerus shows a fiberglass cast around the left humerus.  There is an oblique fracture through a radiolucent bone cyst of the left humerus at the junction between the proximal and mid diaphysis with approximately 4 mm of medial displacement and slight dorsal angulation.  The cyst measures  1.9 X 4.2 cm in dimensions.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2220&req=5

MPX2220_synpic26303: Anteroposterior radiograph of the left humerus shows a fiberglass cast around the left humerus. There is an oblique fracture through a radiolucent bone cyst of the left humerus at the junction between the proximal and mid diaphysis with approximately 4 mm of medial displacement and slight dorsal angulation. The cyst measures 1.9 X 4.2 cm in dimensions.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Unicameral bone cyst with associated pathological fracture

History: 13 year old boy presents to ER with 9/10 left upper arm pain that occurred suddenly while playing catch with his father. The pain is localized, does not radiate, and is characterized as constant without relief. Patient denies any parathesia, loss of strength, function, or sensation.

Findings: Anteroposterior radiograph of the left humerus shows a fiberglass cast around the left humerus. There is an oblique fracture through a radiolucent bone cyst of the left humerus at the junction between the proximal and mid diaphysis with approximately 4 mm of medial displacement and slight dorsal angulation. The cyst measures 1.9 X 4.2 cm in dimensions.

Ddx: Unicameral bone cyst with associated pathological fracture

Exam: His physical exam is non-contributory except for the left arm exam. No deformity is apparent and skin is intact. He has extreme pain to palpation of the left upper extremity. Passive and active shoulder, elbow and wrist ROM are WNL and only limited by the aforementioned pain. Pt has no neurovascular deficits in the ipsilateral elbow or wrist.

No MeSH data available.