Published online Sep 16, 2023. doi: 10.12998/wjcc.v11.i26.6170
Peer-review started: May 6, 2023
First decision: August 2, 2023
Revised: August 3, 2023
Accepted: August 11, 2023
Article in press: August 11, 2023
Published online: September 16, 2023
Fibrous dysplasia associated with aneurysmal bone cyst (ABC)-like changes in the right proximal femur has a low incidence. It is considered more difficult to make early diagnosis than for single fibrous dysplasia.
A 14-year-old woman was admitted because of persistent pain in the right hip and abnormal gait over the previous 2 mo. She had no history of present or past illness. Preoperative photography, enhanced computed tomography, and magnetic resonance imaging showed ground-glass appearance with cortical scalloping and expansion of the right proximal femur and femoral neck. Pathological examination by preoperative puncture biopsy revealed fibrous dysplasia of the right proximal femur. The patient was diagnosed with fibrous dysplasia based on medical history, physical examination, and results of laboratory, imaging and pathological examinations. According to final patho
We report a cases of fibrous dysplasia associated with ABC-like changes in the right proximal femur treated with curettage and allograft along with hip compression screws.
Core Tip: The incidence of fibrous dysplasia associated with aneurysmal bone cyst-like changes in the right proximal femur is low. It is considered more difficult to make early diagnosis than for single fibrous dysplasia. For fibrous dysplasia, curettage and allograft combined with internal fixation are the gold-standard treatments. The therapeutic options for aneurysmal bone cyst (ABC) include curettage with or without adjuncts, bone grafting or bone substitutes, image-guided sclerotherapy with various sclerosing agents, and monoclonal antibodies. We here report a case of fibrous dysplasia associated with ABC-like changes in the right proximal femur treated with curettage and allograft along with hip compression screws.