Salvage of Femoral Head in Aneurysmal Bone Cyst of the Neck of Femur Presenting with Pathological Fracture in Pregnancy: A Case Report

Vol 32| Issue 2 | July – Dec 2019 | page: 46-49 | George M Srampickal, Mohamad Gouse, Subin Babu, Vinoo Mathew Cherian

Authors: George M Srampickal[1], Mohamad Gouse[1], Subin Babu[1], Vinoo Mathew Cherian[1]

[1]Department Of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu, India.

Address of Correspondence
Dr. George M Srampickal,
Christian Medical College, Vellore, Tamil Nadu, India.


Salvage of femoral head following aneurysmal bone cysts (ABCs) of the neck of femur in pregnancy, presented with pathological fracture treated with a dual approach to the neck of femur, was not reported in the scientific literature. A 28-year-old lady at her 3rd month of gestation presented with pathological fracture through ABC of the neck of femur. The femoral head was salvaged successfully with single single-stage dual approach (anterior and lateral approach) extended curettage, allografting, and internal fixation. At two-2-year follow-up, her hip and function are preserved. This case highlights the advantages of a dual approach in salvage of femoral head in pathological fracture following destructive lesion of the neck of femur.
Keywords: Aneurysmal bone cysts, Pathological fracture, Femoral neck, Tumor in pregnancy, Femoral head salvage.


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How to Cite this Article: Srampickal G M, Gouse M, Babu S, Cherian V M | Salvage of Femoral Head in Aneurysmal Bone Cyst of the Neck of Femur Presenting with Pathological Fracture in Pregnancy:A Case Report | Kerala Journal of Orthopaedics | July – Dec 2019; 32(2): 46-49.

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Functional and Radiological Outcome of Non-operative Management of Simple Bone Cyst of Humerus Presenting with Pathological Fracture

Vol 32| Issue 1 | Jan – June 2019 | page: 17-22 | Dominic Puthoor, Dijoe Davis, Shafeeq Muhammed Abubekkar

Authors: Dominic Puthoor [1], Dijoe Davis [1], Shafeeq Muhammed Abubekkar [1]

[1] Department Of Orthopaedics, Amala Institute Of Medical Sciences, Thrissur, Kerala, India

Address of Correspondence

Dr. Dominic Puthoor,
Orthopaedic Oncologist, Amala Institute Of Medical Sciences, Thrissur, Kerala, India.


Simple bone cyst (SBC) is a tumor-like lesion affecting bone. Humerus is the most common site of SBC. Most of the cases of SBC in humerus presents with a pathological fracture. In our study, patients presenting with pathological fracture of SBC in humerus were treated with intracystic injection of Depo-Medrol (methylprednisolone acetate) under computed tomography guidance followed by immobilization in U-slab for 1 month. Clinical and radiological assessment was done during follow-up. It is found that the patients promptly regain excellent function though radiologically healing of the lesion is only partial.
Keywords: Simple bone cyst, Tumor-like lesion, Pathological fracture.


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How to Cite this Article: Puthoor D, Davis D, Abubekkar S M. Functional and Radiological Outcome of Non-operative Management of Simple Bone Cyst of Humerus Presenting with Pathological Fracture. Kerala Journal of Orthopaedics Jan-June 2019; 32(1): 17-22 .

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