A 15-year-old boy with spontaneous pain in the lower leg
Pecht, S.; Raschka, C.
MMW Fortschritte der Medizin 148(15): 46; 48
2006
ISSN/ISBN: 1438-3276 PMID: 16711202 Document Number: 604167
On kicking the ball during a football tournament, and with no involvement of any other player, a 15-year-old boy experienced a spontaneous fracture of the tibia with no fragment displacement. The X-ray of the region of the fracture revealed a cystic structure measuring approximately 3 cm x 2 cm x 2 cm. After eight weeks of conservative treatment, radiography showed bony consolidation of the cyst, and the patient was pain-free. The differential diagnosis must give consideration to juvenile and aneurysmal bone cysts, giant cell tumors and malignant tumors (e.g. osteosarcoma and Ewing's sarcoma).