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Examination and Management of a 4-Year-Old Following a Femoral Aneurysmal Bone Cyst

A Case Report

Kirker, Kaitlin, PT, DPT; Masaracchio, Michael, PT, PhD, OCS, SCS, FAAOMPT; Freeland, Megan, PT, DPT, PCS

doi: 10.1097/PEP.0000000000000603
CASE REPORTS
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Purpose: The literature lacks recommendations for postoperative rehabilitation following removal of aneurysmal bone cysts (ABCs). This case report describes the rehabilitation with return to age-appropriate functional activities for a 4-year-old following surgical fixation of a femoral ABC, with emphasis on clinical decision-making in the absence of definitive treatment algorithms.

Summary of Key Points: The child improved in range of motion, strength, balance, transfers, gait, stair negotiation, and percentile rank on the Test of Gross Motor Development 2.

Conclusion: This case is successful outcomes of a 4-year-old girl (GP) following surgical fixation for an ABC.

Recommendations for Clinical Practice: This case fills a current void in the literature emphasizing clinical decision-making and attainment of GP-specific functional goals. A goal-driven approach incorporating key elements of the International Classification of Function model resulted in successful return to age-appropriate activity following surgical fixation of a femoral fracture due to an ABC.

This case report describes the rehabilitation with return to age-appropriate functional activities for a 4-year-old following surgical fixation of a femoral ABC with emphasis on clinical decision making in the absence of definitive treatment algorithms.

Department of Physical Therapy, Long Island University, Brooklyn, New York.

Correspondence: Kaitlin Kirker, PT, DPT, Department of Physical Therapy, Long Island University, 1 University Plaza, Brooklyn, NY 11201 (kkirker20@gmail.com).

The authors declare no conflicts of interest.

Copyright © 2019 Academy of Pediatric Physical Therapy of the American Physical Therapy Association