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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 86 References 1. Canavese F, Samba A, Rousset M. Pathological fractures in children: Diagnosis and treatment options. Orthopaedics & Traumatology: Surgery & Research. 2016 Feb;102(1):149–59. 2. Hakim DN, Pelly T, Kulendran M, Caris JA. Benign tumors of the bone: A review. Journal of bone oncology. 2015 Mar;4(2):37–41. 3. Ortiz EJ, Isler MH, Navia JE, Canosa R. Pathologic Fractures in Children. Clinical Orthopaedics & Related Research. 2005 Mar;432(1):116–26. 4. Snyder BD, Hauser-Kara DA, Hipp JA, Zurakowski D, Hecht AC, Gebhardt MC. Predicting Fracture Through Benign Skeletal Lesions With Quantitative Computed Tomography. The Journal of Bone and Joint Surgery-American Volume. 2006 Jan;88(1):55–70. 5. Patel B, DeGroot H. Evaluation of the Risk of Pathologic Fractures Secondary to Metastatic Bone Disease. Orthopedics. 2001 Jun;24(6):612–7. 6. Mascard E, Gomez-Brochet A, Lambot K. Bone cysts: Unicameral and aneurysmal bone cyst. Orthopaedics & Traumatology: Surgery & Research. 2015 Feb;101(1):119–27. 7. Yanagawa T, Watanabe H, Shinozaki T, Takagishi K. Curettage of benign bone tumors without grafts gives sufficient bone strength. Acta orthopaedica. 2009 Feb;80(1):9–13. 8. Horstmann PF, Hettwer WH, Kaltoft NS, Petersen MM. Early Clinical |