Pathologic fractures through benign bone lesions in children and adolescents

Abstract

Pathologic fractures through benign bone lesions in children and adolescents should be approached in a systematic fashion in order to ensure appropriate management. The etiology, natural history, and treatment of the underlying abnormality must be taken into account when treating these fractures because the treatment of the fracture will often be altered by the presence of the lesion and vice versa. Most pathologic fractures through benign lesions can be treated closed; however, there are certain circumstances in which open treatment is advisable. A thorough and thoughtful evaluation of the patient who presents with a pathologic fracture through a benign lesion will help lead to an optimal outcome.