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Pathological fractures in children

De Mattos, C B R LU orcid ; Binitie, O and Dormans, J P (2012) In Bone & joint research 1(10). p.80-272
Abstract

Pathological fractures in children can occur as a result of a variety of conditions, ranging from metabolic diseases and infection to tumours. Fractures through benign and malignant bone tumours should be recognised and managed appropriately by the treating orthopaedic surgeon. The most common benign bone tumours that cause pathological fractures in children are unicameral bone cysts, aneurysmal bone cysts, non-ossifying fibromas and fibrous dysplasia. Although pathological fractures through a primary bone malignancy are rare, these should be recognised quickly in order to achieve better outcomes. A thorough history, physical examination and review of plain radiographs are crucial to determine the cause and guide treatment. In most... (More)

Pathological fractures in children can occur as a result of a variety of conditions, ranging from metabolic diseases and infection to tumours. Fractures through benign and malignant bone tumours should be recognised and managed appropriately by the treating orthopaedic surgeon. The most common benign bone tumours that cause pathological fractures in children are unicameral bone cysts, aneurysmal bone cysts, non-ossifying fibromas and fibrous dysplasia. Although pathological fractures through a primary bone malignancy are rare, these should be recognised quickly in order to achieve better outcomes. A thorough history, physical examination and review of plain radiographs are crucial to determine the cause and guide treatment. In most benign cases the fracture will heal and the lesion can be addressed at the time of the fracture, or after the fracture is healed. A step-wise and multidisciplinary approach is necessary in caring for paediatric patients with malignancies. Pathological fractures do not have to be treated by amputation; these fractures can heal and limb salvage can be performed when indicated.

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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
in
Bone & joint research
volume
1
issue
10
pages
80 - 272
publisher
British Editorial Society of Bone & Joint Surgery
external identifiers
  • scopus:84884892902
  • pmid:23610658
ISSN
2046-3758
DOI
10.1302/2046-3758.110.2000120
language
English
LU publication?
no
id
d3ead54c-6e77-4993-af7d-ece4d6b2472f
date added to LUP
2023-11-16 09:32:35
date last changed
2024-04-14 19:17:17
@article{d3ead54c-6e77-4993-af7d-ece4d6b2472f,
  abstract     = {{<p>Pathological fractures in children can occur as a result of a variety of conditions, ranging from metabolic diseases and infection to tumours. Fractures through benign and malignant bone tumours should be recognised and managed appropriately by the treating orthopaedic surgeon. The most common benign bone tumours that cause pathological fractures in children are unicameral bone cysts, aneurysmal bone cysts, non-ossifying fibromas and fibrous dysplasia. Although pathological fractures through a primary bone malignancy are rare, these should be recognised quickly in order to achieve better outcomes. A thorough history, physical examination and review of plain radiographs are crucial to determine the cause and guide treatment. In most benign cases the fracture will heal and the lesion can be addressed at the time of the fracture, or after the fracture is healed. A step-wise and multidisciplinary approach is necessary in caring for paediatric patients with malignancies. Pathological fractures do not have to be treated by amputation; these fractures can heal and limb salvage can be performed when indicated.</p>}},
  author       = {{De Mattos, C B R and Binitie, O and Dormans, J P}},
  issn         = {{2046-3758}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{80--272}},
  publisher    = {{British Editorial Society of Bone & Joint Surgery}},
  series       = {{Bone & joint research}},
  title        = {{Pathological fractures in children}},
  url          = {{http://dx.doi.org/10.1302/2046-3758.110.2000120}},
  doi          = {{10.1302/2046-3758.110.2000120}},
  volume       = {{1}},
  year         = {{2012}},
}