Updated: 5/7/2019

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(SAE07PE.9) A 13-year-old girl is referred for a painful progressive valgus deformity of the right knee. Examination reveals an antalgic gait with an obvious valgus deformity. The right distal femur has a palpable, tender mass with erythema and warmth. Figures 4a and 4b show a clinical photograph and a radiograph. Management should consist of Tested Concept

QID: 6069
FIGURES:
1

needle biopsy of the distal femur.

16%

(31/197)

2

open reduction and internal fixation with a locking plate.

1%

(1/197)

3

closed reduction and fixation with a reamed antegrade locking intramedullary nail.

1%

(1/197)

4

referral to an orthopaedic oncologist for staging studies, biopsy, and definitive management.

79%

(155/197)

5

IV antibiotics for 6 weeks.

2%

(4/197)

L 3 E

Select Answer to see Preferred Response

(SAE07PE.32) What is the most common primary malignant bone or cartilage tumor in children? Tested Concept

QID: 6092
1

Ewing’s sarcoma

14%

(38/272)

2

Giant cell tumor

0%

(1/272)

3

Osteosarcoma

73%

(199/272)

4

Chondrosarcoma

5%

(14/272)

5

Osteochondroma

7%

(18/272)

N/A E

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Evidences (5)
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