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Open biopsy for adequate diagnostic tissue
8%
197/2413
Open reduction internal fixation of the distal ulna
5%
109/2413
Immediate curettage and adjuvant chemo/radiotherapy
14%
329/2413
Nonoperative fracture management
67%
1606/2413
Preoperative chemotherapy and resection of tumor
7%
157/2413
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This patient presents with a small nondisplaced fracture through an aneurysmal bone cyst. While the plain radiograph is not diagnostic, it does not suggest an aggressive lesion. The "lakes of blood" seen on the histology confirm the diagnosis. Given the alignment of the fracture, nonoperative management is preferred. Once the fracture has healed, if the ABC continues to grow treatment is curretage and grafting. If the fracture stimulates the bone cyst to resolve then no further treatment is required. The reference by Cottalorda analyzes different treatment options used on 1256 cases of ABC in the literature. They emphasize the importance of a needle biopsy in diagnosis and treatment.
3.7
(29)
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