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Cyst-like lesions following fracture in a child — sonographic appearances

  • Jennifer Allali
  • Clément EscalardEmail author
  • Frédérique Belloy
  • Marie Blouet
Case Report
  • 29 Downloads

Abstract

Cyst-like lesions are a rare radiologic presentation following fractures in children. We report the case of a 3-year-old boy having three cyst-like lesions after a buckle fracture of his left radius that was diagnosed with digital radiography and CT scan. We also describe the lesions’ ultrasonographic appearance, which has not been addressed in other studies. The keys to diagnosis depend on the clinical context and the radiologic appearance. The cyst-like lesions occur several weeks after a non-displaced fracture in an asymptomatic child. The radiologic appearance shows small, well-defined lucent lesions located near the fracture site, in the subperiosteal space and bone callus. Ultrasonography can be useful to confirm the subperiosteal location and to exclude adjacent soft-tissue abnormalities. In cases requiring further clarity, MRI can be performed to identify the fatty content and exclude osteomyelitis.

Keywords

Child Computed tomography Cyst-like lesion Fracture Radiography Ultrasonography 

Notes

Compliance with ethical standards

Conflicts of interest

None

References

  1. 1.
    Pfister-Goedeke L, Braune M (1981) Cyst like defects following fractures in children. Pediatr Radiol 11:83–86CrossRefGoogle Scholar
  2. 2.
    Roach RT, Cassar-Pullicino V, Summers BN (2002) Paediatric post-traumatic cortical defects of the distal radius. Pediatr Radiol 32:333–339CrossRefGoogle Scholar
  3. 3.
    Malghem J, Maldague B (1986) Transient fatty cortical defects following fractures in children. Skelet Radiol 15:368–371CrossRefGoogle Scholar
  4. 4.
    Malghem J, Maldague B, Claus D, Clapuyt P (1990) Transient cyst-like cortical defects following fractures in children. Medullary fat within the subperiosteal haematoma. J Bone Joint Surg Br 72:862–865CrossRefGoogle Scholar
  5. 5.
    Freire G, Cruz R, Valentim MH et al (2019) Post-traumatic cyst-like lesion of cortical bone in children. Skelet Radiol 48:167–174CrossRefGoogle Scholar
  6. 6.
    Pérez IG, Salinas JTL, Navalón LAG et al (2016) Cyst-like cortical defects following fractures in children: series of 5 cases. Trauma Cases Rev 2:040CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of RadiologyCentre Hospitalier Universitaire de CaenCaenFrance
  2. 2.Pôle de Formation et de Recherche en Santé, Université de Caen NormandieCaenFrance

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