Unicameral bone cyst with pathological fracture

Case contributed by Ian Bickle , 9 May 2018
Diagnosis probable
Changed by Sachi Hapugoda, 9 May 2018

Updates to Case Attributes

Body was changed:

A decent starter film for a fellowship exam.  A lucent bone lesion.

The examiner can use this film to:

1.   Assess assess the candidatescandidate's ability to describe a focal bone lesion.

2.   Assess assess knowledge depth through enquiry into a differential.  

3.   Enquire enquire further into additional imaging which may help (Eg (e.g. MRI to see fluid-fluid levels to distinguish between a unicameral bone cyst and anuerysmalaneurysmal bone cyst)

4.  Assess assess if the candidate gives a common sense most/most likely diagnosis and management plan.

The reality is on plain film alone it is difficult to be definitive, especially between the chief two differentials of UBC and ABC.

  • -<p>A decent starter film for a fellowship exam.  A lucent bone lesion.</p><p>The examiner can use this film to:</p><p>1.   Assess the candidates ability to describe a focal bone lesion.</p><p>2.   Assess knowledge depth through enquiry into a differential.  </p><p>3.   Enquire further into additional imaging which may help (Eg. MRI to see fluid-fluid levels to distinguish between a unicameral bone cyst and anuerysmal bone cyst). </p><p>4.  Assess if the candidate gives a common sense most likely diagnosis and management plan.</p><p>The reality is on plain film alone it is difficult to be definitive, especially between the chief two differentials of UBC and ABC.</p>
  • +<p>A decent starter film for a fellowship exam.  A lucent bone lesion.</p><p>The examiner can use this film to:</p><p>1. assess the candidate's ability to describe a focal bone lesion</p><p>2. assess knowledge depth through enquiry into a differential</p><p>3. enquire further into additional imaging which may help (e.g. MRI to see fluid-fluid levels to distinguish between a unicameral bone cyst and aneurysmal bone cyst)</p><p>4. assess if the candidate gives a common sense/most likely diagnosis and management plan</p><p>The reality is on plain film alone it is difficult to be definitive, especially between the chief two differentials of UBC and ABC.</p>

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