Post-traumatic cortical cystic lesions in children: three case reports and a systematic review of the literature

Post-traumatic cortical cystic lesions are rare radiolucent lesions that appear as a complication of low-severity fractures in children. Their relevance lies in the fact that few cases of these lesions have been described to date, so they are little known among clinicians caring for children. Three...

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Bibliographic Details
Published in:Skeletal radiology 2024-12, Vol.53 (12), p.2729-2734
Main Authors: Galán-Olleros, María, Manzarbeitia-Arroba, Paloma, Miranda-Gorozarri, Carlos, Cerdà, Sara I. Sirvent, Torres-Izquierdo, Beltran, Ramírez-Barragán, Ana, Alonso-Hernández, Javier
Format: Article
Language:English
Subjects:
Asymptomatic
Biopsy
Bone Cysts - diagnostic imaging
Bone Cysts - etiology
Case Report
Case reports
Child
Child, Preschool
Children
Cysts
Diagnosis, Differential
Fractures
Hematoma
Humans
Imaging
Lesions
Literature reviews
Medicine
Medicine & Public Health
Nuclear Medicine
Orthopedics
Pathology
Pediatrics
Radiology
Radius Fractures - complications
Systematic review
Trauma
Citations: Items that this one cites
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Summary:Post-traumatic cortical cystic lesions are rare radiolucent lesions that appear as a complication of low-severity fractures in children. Their relevance lies in the fact that few cases of these lesions have been described to date, so they are little known among clinicians caring for children. Three case reports of well-circumscribed cortical lytic lesions detected at 2–4 months during the follow-up of non-displaced distal radius fractures in children aged 9, 7, and 2 years are presented. The consistent clinical history and typical radiological features allowed the accurate diagnosis of post-traumatic cortical cystic lesion, without the need for advanced imaging tests or biopsy. At 12-, 8- and 11-month follow-ups, respectively, the lesions either disappeared or decreased in size. This benign and self-limited lesion should be correctly recognized to avoid confusion with other diagnoses, advanced imaging tests or biopsies, and unnecessary parental concerns.
ISSN:0364-2348
1432-2161
1432-2161
DOI:10.1007/s00256-024-04661-z