Muhammad Mubashir SiddiquiManchester University NHS Foundation Trust, United Kingdom
Title: Pathological distal tibial and fibular fracture: A case report” and “Departmental teaching audit – Increasing non-core teaching hours for foundation doctors
Introduction: Paediatric tibial fractures represent 15% of all paediatric fractures and are the third most common paediatric long bone fracture after the femur and radius-ulna. Of these, approximately 30% are associated with a fibular fracture. Management options for these fractures includes conservative and surgical treatment.
Aim: The aim of this case report was to review and present the management and clinical outcome of a 10-year-old patient who sustained a pathological fracture with a non-ossifying fibroma.
Method: A retrospective review of the clinical and radiological case notes of the patient was carried out.
Report: This case reports a young patient who sustained a fracture of the left distal tibia and fibula with an unusual lesion seen at the distal tibial fracture site. This lesion was curetted out during surgery and filled with an injectable synthetic bone void filler. Histological report of the lesion showed no evidence of malignancy. The patient was regularly followed up in clinic where he had a specialised regimen for foot support and weightbearing. X-Ray’s done 18-months post-operatively showed full healing of the fracture and complete consolidation of the cyst.
Conclusion: Pathological fractures can often be the initial presentation of a bone lesion which are often asymptomatic and picked up incidentally on X-rays. The presence of a bone lesion complicates fracture management. It is essential bone samples are sent from surgery to histology for a report to aid with the diagnosis. This guides treatment and long-term management and aids towards incidence and prevalence data for the disease.