Peritrochanteric Unicameral Bone Cyst in A 9-year-old Girl: A Case Report and Review of Literature

IF 0.3 Q4 PEDIATRICS Journal of Pediatrics Review Pub Date : 2021-07-01 DOI:10.32598/jpr.9.3.873.1
S. Ghaffari, Mehran Razavipour, Kosar Maleki, Ali Akbar Farsavian
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Abstract

Introduction: The Unicameral Bone Cyst (UBC) is a benign osteolytic lesion primarily found in the metaphyseal part of long bones in children. It is important as it can involve growth plate involvement, cause pathological fractures and deformities of the affected limb. We report this case to emphasize that hip area pathologies can be represented with knee pain and discomfort. Case Presentation: The patient was a 9-year-old girl with a bone cyst in the right proximal femur, with functional knee pain and limping. The diagnosis was made after two years of pain in the knee area. As the cyst was symptomatic and the signs of impending pathological fracture were seen, the lesion was managed by curettage and fibular strut allograft and proximal humerus locking plate. Conclusions: The patient has been examined for knee joint problems for a long time, and her femur bone cyst was diagnosed after two years of pain. However, it could become a pathologic fracture or involve the growth plate and stop the limb’s growth, thus affecting the patient’s quality of life. Therefore, in children with chronic knee pain, careful assessment of the hip area is recommended.
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9岁女童股骨转子周围一院性骨囊肿1例报告及文献复习
单侧骨囊肿(UBC)是一种主要发生在儿童长骨干骺端的良性溶骨性病变。这很重要,因为它会累及生长板,导致病理性骨折和患肢畸形。我们报告这个病例是为了强调髋部病变可以表现为膝盖疼痛和不适。病例介绍:患者为一名9岁女孩,右股骨近端骨囊肿,伴有膝关节功能性疼痛和跛行。诊断是在膝盖区域疼痛两年之后做出的。由于囊肿有症状且有病理性骨折的迹象,病变采用刮除、异体腓骨支架移植和肱骨近端锁定钢板治疗。结论:患者长期检查膝关节问题,经过两年的疼痛诊断为大腿骨囊肿。然而,它可能成为病理性骨折或累及生长板,停止肢体的生长,从而影响患者的生活质量。因此,对于患有慢性膝关节疼痛的儿童,建议仔细评估髋关节面积。
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审稿时长
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