Case Report
Year: 2022 | Month: April-June | Volume: 7 | Issue: 2 | Pages: 412-416
DOI: https://doi.org/10.52403/ijshr.20220458
Pathological Fracture of Subtrochanteric Femur in Children with Simple Bone Cyst - Case Report
I Made Agus Satrya Wibawa1, Made Agus Maharjana2
1Intern of Orthopedic and Traumatology Department, Bali Royal Hospital
2Orthopaedic and Traumatology Specialist of Orthopaedic and Traumatology Department, Sanglah
Corresponding Author: I Made Agus Satrya Wibawa
ABSTRACT
Introduction: Simple bone cyst (SBC) described as benign non-neoplastic serous-filled bone lesion which commonly affect children and has prevalence less than 1% in the general population. The diagnosis often in children with pathological fracture occurred. The management is determined based on the clinical conditions, and optimal strategy to minimalize the surgical complications.
Case Presentations: We reported a case of 5-year-old female complained of pain in her left thigh after slipped. Physical and radiological examination revealed deformity with fracture of left subtrochanter femur. Curettage and biopsy were consequently done, followed with bone graft and fixation using plate and screw. Biopsy result confirmed our suspicion of SBC. Five months postoperatively, patient had been done activity without difficulties and walk normally with no leg length discrepancy.
Discussion: By reason of this fracture scarcity, the management standard had not yet concluded. Surgical curettage and cyst excision along with bone grafting still become recommendation choice to manage SBC. Nevertheless, we treat the patient with locking plate and screw to ensure proper rotation and adequate curettage to avoid recurrency, besides of its cost-effectiveness.
Conclusion: From this case the result was satisfactory with curettage, bone graft, and fixation with locking plate and screw for pathological subtrochanter femur fracture treatment in children with SBC.
Clinical Importance: Vigilant diagnosis and preoperative planning are crucial in recognizing pathological fracture, especially in trivial, low-energy trauma to ensure the best outcome for the patient.
Keywords: Simple bone cyst, pathological, fracture subtrochanteric, children.