الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Benign tumors of bone represent a diverse group of
pathological and clinical entities.
They vary greatly in aggressiveness and clinical behavior, thus
requiring a broad spectrum of treatment. The diagnostic strategies for
benign bone tumors center around the initial radiographic
presentation.
The presentation of a child with a benign bone tumor to an
orthopedist is usually precipitated by the discovery of a bone lesion as
an incidental finding on a radiograph taken after an injury or because
of the onset of signs or symptoms, such as pain, a palpable mass, or a
pathological fracture. There is no single characteristic presentation for
all benign bone tumors, but there may be a highly characteristic
presentation for a given type of tumor, usually a specific constellation
of signs, symptoms, and radiographic findings.
Most pathological fractures in children are secondary to benign
tumors. Other causes should be kept in mind, especially secondary to
a malignant tumor, which is much rarer but different in the treatment
plan.
Dormans et al. have proposed grouping the treatment of
pathological fractures. The four types of fracture treatments include:
1) no treatment—the fracture and lesion may heal spontaneously; 2)
treating the fracture first and then the lesion; 3) treating the fracture
and lesion simultaneously; and 4) treating only the underlying
process— the fracture can heal with the treatment of the underlying
process.
References
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