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A 12-year-old boy presents with pain in the left hip for 6 weeks duration. Physical exam shows he is afebrile. He has a WBC of 12.2, and an ESR of 16. A radiograph is shown in Figure A. A T2-weighted MRI is shown in Figure B. A T1-weighted MRI with and without contrast is shown in Figure C and D respectively. What is the most appropriate next step in treatment.
Curettage and bone grafting
Percutaneous high-frequency ablation
Wide resection and perioperative chemotherapy
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You are seeing a 16-year-old female with shoulder pain. She is otherwise healthy and denies trauma. Based on the radiograph, MRI, and histology shown in Figures A-C, what is your diagnosis?
Simple bone cyst
Aneurysmal bone cyst
Unicameral bone cyst
A 10-year-old male presents with knee pain after a collision with another soccer player. Knee radiographs are taken and show a cystic-appearing lesion in the metaphyseal region of the proximal tibia without evidence of fracture. An MRI is performed and is shown in Figure A. If a biopsy is performed, the histology would most likely resemble which Figure (B-F)?
A 12-year-old female is involved in a low speed motor vehicle accident and presents with a pathologic fracture in the ulna. A radiograph is shown in Figure A. A needle biopsy is performed and histology is shown in Figure B. What is the best next step in treatment?
Open biopsy for adequate diagnostic tissue
Open reduction internal fixation of the distal ulna
Immediate curettage and adjuvant chemo/radiotherapy
Nonoperative fracture management
Preoperative chemotherapy and resection of tumor
A 6-year-old male presents with pain and swelling in his proximal tibia after twisting his knee. AP and lateral radiographs are shown in Figures A and B. Figure C shows a sagittal section from an MRI, and Figure D shows the high-power histology specimen from biopsy. What is the most likely diagnosis?
Giant cell tumor
Non ossifying fibroma
Intralesional curettage and bone grafting is an accepted component of the treatment plan for all of the following conditions EXCEPT?
Aneurysmal Bone Cyst
HPI - The condition started six months ago after a minor twisting injury and XRays confirmed a pathologic fracture through a bone cyst in the proximal femur. The fracture was treated conservatively and completely united but the cyst persisted.
What other investigations are needed?
HPI - parents noticed a swelling of the righ wrist around a month,no h/o fall
What is the most likely diagnosis base on the radiographs alone
HPI - Optd in other center 04 yrs back for some calcaneal lesion - Curettage + Autologous iliac crest Bone grafting was done. (Documents, previuo radiographs and HPE report not available) .. wounds healed.
Sustained trauma to same side 01 yr back.. developed swelling laterally in hind foot. Had some discharge for a months which resolved on medications.(? antibiotics) and dressings.
Presently has swelling over the hind foot behind and below lateral malleolus (Picture for reference). Mild pain on weight bearing. No discharge.
Treatment options presently