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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Cyst-like defects following fractures in children

L Pfister-Goedeke, M Braune

    Pediatric Radiology
    |January 1, 1981
    PubMed

    Insights

    Pediatric greenstick fractures can cause benign, cyst-like bone defects near the fracture site. These resorption cysts, related to periosteal reaction, do not affect fracture healing and often resolve over time.

    Area of Science:

    • Pediatric Orthopedics
    • Pediatric Radiology
    • Pediatric Bone Healing

    Background:

    • Greenstick fractures are common incomplete fractures in children.
    • These fractures involve the periosteum, leading to a subperiosteal hematoma and periosteal reaction.
    • The study investigates unusual bone defects observed after pediatric greenstick fractures.

    Observation:

    • Nine children presented with radiolucent, cyst-like cortical defects.
    • Lesions appeared weeks after greenstick fractures in the undamaged radius, proximal to the fracture line.
    • Defects varied in size (3-7 mm diameter) and shape, often multiple and within the periosteal reaction zone.

    Findings:

    • Fracture healing remained unaffected despite the presence of these cyst-like defects.
    • In three patients, the lesions resolved spontaneously within three years.
    • The defects are characterized as benign resorption cysts linked to periosteal reaction and hematoma.

    Implications:

    • These findings help differentiate benign post-fracture bone changes from more serious conditions in children.
    • Understanding these resorption cysts can reduce unnecessary patient anxiety and diagnostic procedures.
    • Radiologists and orthopedic surgeons should be aware of these transient lesions following pediatric greenstick fractures.

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