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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2018, Number 5

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Acta Ortop Mex 2018; 32 (5)

Benign tumors that cause fractures in children

Cortés-Cerda R, Mora-Ríos FG, Insunza-Ramírez A, Mejía-Rohenes LC, Ruiz-Alva SK, Pérez García CK
Full text How to cite this article 10.35366/84434

DOI

DOI: 10.35366/84434
URL: https://dx.doi.org/10.35366/84434

Language: Spanish
References: 12
Page: 283-286
PDF size: 121.66 Kb.


Key words:

Fracture, pathological, tumor, bone, benign, pediatric.

ABSTRACT

Introduction: A pathological fracture is defined as that which occurs through an abnormal bone. Approximately 20,000 benign neoplasms of the musculoskeletal system are diagnosed each year. Often the pain of the fracture is the first symptom of a pathological process in the bone. The site, age and radiographic appearance create a differential diagnosis for pathological fractures that remains broad. The clinical examination evaluates the condition of the skin, palpating any tissue mass and determining if there are local inflammatory signs such as erythema, heat or edema. The biopsy is highly recommended to confirm the diagnosis of a pathological fracture. Objective: To determine which benign bone tumors and pseudotumoral lesions produce fractures in children’s bones more frequently in our institution. Material and methods: Cross-sectional retrospective study, review of records of patients with diagnosis of pathological fracture, attended in the period from March 2013 to March 2017, were reviewed. Results: The benign tumors that caused fractures in previously damaged areas were: aneurysmal bone cyst 13, enchondroma 5, osteoid osteoma 3, giant cell tumor 2. Conclusion: At our institution, aneurysmal bone cysts were the benign tumors that most frequently produce pathological fractures in children, with predominance in males.


REFERENCES

  1. Beaty JM, Kasser JR. Fracturas patológicas asociadas a tumores y trastornos específicos del sistema músculo-esquelético. En: Beaty JM, Kasser JR. Rockwood & Wilkin’s. Fracturas en el niño. Madrid: Marbán; 2003.

  2. Catterall A. Fracturas patológicas. En: De Pablos J, González-Herranz P. Fracturas infantiles: conceptos y principios. Global HELP Organization; 2010.

  3. Springfield SD, Gebhardt CM. Bone and soft tissue tumors. In: Morrissy-Raymond T, Weinstein-Stuart L, editors. Lovell & Winter’s Pediatric Orthopaedics. 6th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2006.

  4. Rodríguez GA. Valoración radiológica de las imágenes líticas óseas. Pediatr Integral. 2012; 16(7): 565-73.

  5. Tachdjian MO. Ortopedia pediátrica. Tumores de hueso. México: Interamericana; 1976.

  6. Rapp M, Grauel F, Wessel LM, Illing P, Kaiser MM. Treatment outcome in 60 children with pathological fractures of the humerus caused by juvenile or aneurysmal bone cysts. Acta Orthop Belg. 2016; 82(4): 723-9.

  7. Canavese F, Samba A, Rousset M. Pathological fractures in children: diagnosis and treatment options. Orthop Traumatol Surg Res. 2016; 102(1 Suppl): S149-59.

  8. Guida P, Ragozzino R, Sorrentino B, Casaburi A, D’Amato RD, Federico G, et al. Three-in-One minimally invasive approach to surgical treatment of pediatric pathological fractures with wide bone loss through bone cysts: ESIN, curettage and packing with injectable HA bone substitute. A retrospective series of 116 cases. Injury. 2016; 47(6): 1222-8.

  9. Yang X, Tang X, Jiang X, Liu L. A comparative study on two fixation methods for benign long bone pathological fractures in children. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2015; 29(6): 712-6.

  10. Erol B, Onay T, Topkar OM, Tokyay A, Aydemir AN, Okay E. A comparative study for the treatment of simple bone cysts of the humerus: open curettage and bone grafting either without instrumentation or with intramedullary nailing. J Pediatr Orthop B. 2017; 26(1): 5-13.

  11. Staheli LT. Ortopedia pediátrica. Tumores. Madrid: Marbán; 2003.

  12. Ömeroğlu H. Basic principles of fracture treatment in children. Eklem Hastalik Cerrahisi. 2018; 29(1): 52-7.




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C?MO CITAR (Vancouver)

Acta Ortop Mex. 2018 Sep-Oct;32