Discusión entre pares / 7 years female h/o trivial trauma...management please..

Tej Prakash Dawadi

7 years female h/o trivial trauma...management please..

Me gusta ·  · 16 de marzo a la(s) 6:46

• 
  
• 

  Srikant Konchada Appears to be benign lesion.....probably non ossifying fibroma

  16 de marzo a la(s) 6:51 · Me gusta
• 

  Hassan Fajr Fibroma

  16 de marzo a la(s) 6:53 · Me gusta
• 

  Hemant Singla It can be abc

  16 de marzo a la(s) 6:54 · Me gusta
• 

  Sameh Derbala Mostly, fibrous dysplasia curettage plus bone graft plus cast

  16 de marzo a la(s) 6:54 · Me gusta · 1
• 

  Suhel Kotwal NOF.

  16 de marzo a la(s) 6:55 · Me gusta
• 

  Kanav Padha Rule out infective pathology. Broodies abscess. Curratage and screws augmented bone graft or cement. Young patient. MRI to be done after CBC.

  16 de marzo a la(s) 6:55 · Me gusta · 2
• 

  Mokhtar Ammar NOF

  16 de marzo a la(s) 6:59 · Me gusta · 1
• 

  Darshan Bachani Chondromyxoid fibroma but rare

  16 de marzo a la(s) 7:23 · Me gusta · 1
• 

  Adriana Atencio Chan Fibroma no osificante

  16 de marzo a la(s) 7:34 · Me gusta
• 

  Sagun Dongol Abc

  16 de marzo a la(s) 7:42 · Me gusta
• 

  Madhur Mahna Non ossifying fibroma
  Nothing should be done

  16 de marzo a la(s) 7:52 · Me gusta · 1
• 

  Drmhreddy Moola NOF

  16 de marzo a la(s) 8:01 · Me gusta
• 

  Adiveppa Hosangadi NOF.begging to be left alone

  16 de marzo a la(s) 8:01 · Me gusta · 1
• 

  Jaymin Shah Dr Suhel Kotwal,Dr Manish Pruthi,:will you get an MRI done here or not?

  16 de marzo a la(s) 8:13 · Me gusta · 2
• 

  Mohamed Samir NOF

  16 de marzo a la(s) 8:15 · Me gusta
• 

  Kuldeep Sandhu Nof

  16 de marzo a la(s) 8:29 · Me gusta
• 

  Narayan Karne In view of size of lesion, chances of pathological fracture are very high even if kept non weight bearing. How long one wishes to keep not weight bearing? Best open from lateral side, curett, Cancellous bone graft mixed with G Bone. Avoid cement in growing bone. Histopathologist will clear ABC or NOF. MRI will not change line of management, but if the patient is affording one can do it.

  16 de marzo a la(s) 8:32 · Me gusta · 4
• 

  Raj Singh Must do biopsy. Tissue diagnosis is must.

  16 de marzo a la(s) 8:32 · Me gusta · 1
• 

  Arvind Mhaske Nof..curretage n bg.

  16 de marzo a la(s) 8:41 · Me gusta
• 

  Ahmed Abbashar Biopsy..is mandatory..

  16 de marzo a la(s) 8:50 · Me gusta
• 

  Madhur Mahna Dr Ahmed....biopsy is mandatory??
  Please give a reference.

  16 de marzo a la(s) 9:02 · Me gusta
• 

  Suhel Kotwal Biopsy is not necessary for this pre-op since this is a classical NOF. Also xray features of sclerotic wall around the lesion, geographical appearance and narrow zone of transition suggests its benign. You can always do frozen section on table- in this case, I will take him to the OR for curettage and grafting (maybe ORIF) to prevent impending fracture.

  16 de marzo a la(s) 9:04 · Me gusta
• 

  Madhur Mahna The treatment options actually practised may vary....but for nof, any surgical treatment is recommended only if there IS a fracture.

  16 de marzo a la(s) 9:06 · Me gusta
• 

  Girish Vimal M/b sbc,abc,infection.mri.hpe.dn further plan o t\t.

  16 de marzo a la(s) 9:11 · Me gusta
• 

  Tej Prakash Dawadi There is a fracture sir

  16 de marzo a la(s) 9:13 · Me gusta
• 

  Kuldeep Sandhu Biopsy and prophylactic tt

  16 de marzo a la(s) 9:14 · Me gusta
• 

  Drsrinivasa Mahendra Parasuraman N.of/-Ctscan to see extent of lession. If more than 2/3rd involument-needs curettage +b.g

  16 de marzo a la(s) 9:15 · Me gusta
• 

  Tej Prakash Dawadi Prophylactic tt. In what form sir?

  16 de marzo a la(s) 9:15 · Me gusta
• 

  Tej Prakash Dawadi In lateral view almost full extent is involved n in AP view half is involved. Is it necessary to do ct scan to see extent of lesion?

  16 de marzo a la(s) 9:20 · Me gusta
• 

  Khaled Maaita Fibrous cortical defect

  16 de marzo a la(s) 9:33 · Me gusta
• 

  Abdel Naser Rady uni cameral bone cyst curetage and graft

  16 de marzo a la(s) 10:24 · Editado · Me gusta
• 

  Suhel Kotwal No need for MRI Jaymin Shah if lesion is classic. If its atypical, always better to get one.

  16 de marzo a la(s) 10:45 · Me gusta · 1
• 

  Dipanjan Bhadra Before doing curettage and bone grafting from mother stabilize with half pin fixator avoiding growth plate

  16 de marzo a la(s) 13:08 · Me gusta · 1
• 

  Ahmed Albushtra good pic .this typically clinical&Xr with broad abscess for curettage &bone graft &biopsy &C/S

  16 de marzo a la(s) 16:55 · Me gusta
• 

  Ali Zaki nothing

  17 de marzo a la(s) 6:15 · Me gusta
• 

  Mohammed Fawzy Arab history please

  17 de marzo a la(s) 7:22 · Me gusta