pathologische Fraktur Humerus
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/5/0/2/7/2/Juvenile_Knochenzyste_Humerus_mit_pathologischer_Fraktur_9W_-_fallen_fragment_CR_ap_-_001_thumb.jpg)
Juvenile
Knochenzyste Humerus mit pathologischer Fraktur und so genanntem "fallen fragment sign" oder "Türflügelzeichen"
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/5/0/2/7/3/Juvenile_Knochenzyste_Humerus_mit_pathologischer_Fraktur_9W_-_CR_ap_-_001_thumb.jpg)
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/5/0/2/7/5/Pathologische_Fraktur_bei_Metastase_Nierencell-Ca_im_Humerus_thumb.jpg)
Pathologische
Fraktur des Humerus bei einer Metastase eines Nierenzellkarzinoms.
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/5/0/2/7/6/Pathologische_Humerusfraktur_bei_NHL_thumb.jpg)
Pathologische
Fraktur des Humerus bei ossärer Manifestation eines Non-Hodgkin-Lymphoms.
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/9/6/4/7/8/Pathologische_Fraktur_Humerus_bei_Metastasen_Mammakarzinom_69W_-_CR_ap_-_001_thumb.jpg)
Pathologische
Fraktur im proximalen Humerus bei Metastasen eines Mammakarzinoms. Es finden sich weitere Osteolysen: Glenoid und mehrere Rippen, Letztere auch mit pathologischen Frakturen.
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/2/7/0/9/12891_2020_3054_Fig2_HTML_thumb.jpg)
Treatment of
simple bone cysts of the humerus by intramedullary nailing and steroid injection. Radiographs of a 10-year-old boy who presented with pathological fracture of the left humerus. a-b Anteroposterior and lateral radiograph on admission. c-e MRI indicates a low signal on T1-weighted images and a homogeneous high signal on T2 weighting. f-k After the operation of minimally invasive intramedullary decompression and drainage with ESIN combined with intralesional injections of steroids; At the interval points of postoperative 1 weeks, 2 months, 6 months, 9 months, 12 months, 14 months, the lesion is significantly smaller and shows signs of healing gradually. At 14 months, Radiograph show complete cyst healing (Capanna grade 1 healing). l-o At 16 months, the bone cyst has resolved, and then the intramedullary nails are removed. n-o Radiographs show complete cyst healing (Capanna grade 1 healing) after second surgery
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/2/7/1/1/12891_2020_3054_Fig3_HTML_thumb.jpg)
Treatment of
simple bone cysts of the humerus by intramedullary nailing and steroid injection. Radiographs of an 11-year-old boy who presented with pathological fracture of the left humerus. a-b Anteroposterior and lateral radiograph on admission. c-d MRI indicates a low signal on T1-weighted images and a homogeneous high signal on T2 weighting. e-f Three-dimensional CT image reconstruction and a sagittal CT scanning show fracture of proximal humeral bone cyst. g-l After the operation of minimally invasive intramedullary decompression and drainage with ESIN combined with intralesional injections of steroids; At the interval points of postoperative 1 weeks, 2 months, 6 months, the lesion is significantly smaller and shows signs of healing gradually, the fracture gradually healed, Radiographs show complete cyst healing (Capanna grade 1 healing)
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/2/7/1/2/12891_2020_3054_Fig4_HTML_thumb.jpg)
Treatment of
simple bone cysts of the humerus by intramedullary nailing and steroid injection. Radiographs of a 10-year-old boy who presented with pathological fracture of the right humerus. a-b Anteroposterior and lateral radiograph on admission. c-d MRI indicates a big bone cyst in humerus. e-f After the operation, postoperative 1 weeks Radiographs show a good position of the fixation. g-h At 1 month after surgery, an accident is happened, posteroanterior X-ray shows a valgus deformity and a secondary fracture in the cyst region. i-j An”O″ shaped cast fixation was done after reduction in outpatient clinic, X-ray shows a valgus deformity. k-n At the interval points of postoperative 6 weeks, 2 months, Radiographs show a valgus deformity. o-p Radiographs show complete cyst healing while there is a valgus deformity, although the position of photograph was not satisfactory, there was no functional and visual defects
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/2/7/3/1/f8974d021bae90bbd759c19735ec8c_big_gallery_thumb.jpg)
Unicameral
bone cyst • Simple bone cyst with pathologic fracture - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/2/7/3/0/d6003f67ecaf4b05383c68c3bac444_big_gallery_thumb.jpg)
Unicameral
bone cyst • Unicameral bone cyst - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/2/7/2/9/530080980fe7b8dc01182b0a815182_big_gallery_thumb.jpg)
Unicameral
bone cyst • Simple bone cyst with pathological fracture - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/2/7/2/5/b54d7edff9ad637b5eeb543734d7ae_big_gallery_thumb.jpg)
Unicameral
bone cyst • Unicameral bone cyst - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/1/2/7/9/3/3/Ossaere_Metastase_Lungenkarzinom_distaler_Humerus_56W_-_CR_und_CT_-_001_thumb.jpg)
Ossäre
Metastase eines Lungenkarzinoms in den distalen Humerus mit großem Weichteilanteil. Beachte auch weitere, kleinere Metastasen proximal am Humerus (2. Bild von rechts koronarer Reformatierung).
pathologische Fraktur Humerus
Siehe auch:
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einfache
(juvenile) Knochenzyste Humerus