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Staging studies (MRI, bone scan, and chest CT)
7%
67/936
Open biopsy
3%
24/936
Sling and closed fracture care
83%
776/936
Curettage and bone grafting
6%
53/936
Open reduction and internal fixation
1%
8/936
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The radiographs reveal a fracture through a lesion of the proximal humerus. The central lucency without any obvious matrix and thinning of the cortical bone are typical findings of an unicameral bone cyst. The proximal humerus is the most common site for this lesion. Typically these fractures should be allowed to heal prior to treatment, which may include, classically, aspiration and injection of corticosteroid. Recently other treatment options, including the injection of bone marrow aspirate or bone graft substitutes, have been reported, with open curettage and bone grafting reserved only for recurrent or nonresponding cysts.
4.3
(9)
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