Cirugía de Rodilla, Artroscopia y Oncología Ósea: Discusión entre pares / 6 years male Osteolytic lesion discovered accidentally after minor trauma Iab. Normal.........Opnions?

Indian-Orthopaedic Research-Group

Omar Kelany

6 years male Osteolytic lesion discovered accidentally after minor trauma Iab. Normal.........Opnions?

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Maged El-Kateb Any history of infection??????

19 horas · Me gusta
AhMad Mostafa f

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Omar Kelany No history of infection

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Shekhar Kumta Osteofibrous Dysplasia is a distinct possibility. Needs resection. In our unit we prefer wide local excision and Vascular Fibular graft reconstruction. Curettage for such an extensive lesion has a much higher chance if recurrence.

18 horas · Me gusta
Suddhajit Sen Osteofibrous dysplasia would be my top most differential.

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Arvind Jain Seen two such cases, no treatment given so far.

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Sazzad Subho fibrous displasia.wait & follow up.

16 horas · Me gusta · 1
Pundaleekappa Kaladagi Fibrocystic lesion. dd. Fibrous dysplasia, cong pseudorthosis, chondroma,.... Biopsy please?

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Anuj Agrawal Why do you call it an accidently discovered lesion? Accidentalomas are lesions luckily (or unluckily!) found on imaging done for some other cause/some other bone.
Here, the concerned bone is tibia only, which should be painful after the trivial trauma, with difficulty in weight-bearing. There is anterolateral bowing of tibia, with a transverse stress fracture at the apex of deformity. This needs urgent intervention, and should not be overlooked as an 'accidentaloma'.

15 horas · Me gusta · 1
Rahul Kanere Can it be Adamentinoma..?

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Pundaleekappa Kaladagi Yes? Classical Radiological features

5 horas · Editado · Me gusta
Anuj Agrawal The age and appearance favours osteofibrous dysplasia over adamantinoma.

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Kishore B Reddy Ofd vs adamantinoma, omer get a pet done if possible, will gv an idea about the activity and also will guide in biopsy. If adamantinoma then ECRT

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Hossain Mohammad Tareque adamentonoma

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Kishore B Reddy Completely agree tat age doesn't fit for adamantinoma. But should rule it out

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Srinivas CH Get a bone scan followed by biopsy.

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Srimanth Bindiganavile OFD or Adamnatinoma... Extra osseous component in MR..the spectrum of OFD and Admantinoma is narrow...even for pathologists... So double check the biopsy... If OFD, leave alone and brace if symptomatic on follow up...if Adamantinoma, WE + ECRT or allograft intercalary depending on availablity

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Srimanth Bindiganavile Agree with Dr Srinivas CH sir. Bone scan is must

3 horas · Me gusta