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Metachronous Aneurysmal Bone Cysts in a Fourteen-Year-Old GirlA Case Report and Review of the Literature
Thomas E. Niemeier, BS1; Lee R. Leddy, MD2; Russell W. Chapin, MD3; M. Timothy Smith, MD3
1 College of Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 601, MSC 617, Charleston, SC 29425
2 Department of Orthopaedic Surgery, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 622, Charleston, SC 29425
3 Department of Radiology (R.W.C.) and Department of Pathology (M.T.S.), Medical University of South Carolina, 169 Ashley Avenue, MSC 322, Charleston, SC 29425
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Investigation performed at the Medical University of South Carolina, Charleston, South Carolina



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Jun 12;3(2):e55 1-7. doi: 10.2106/JBJS.CC.L.00295
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Extract

Aneurysmal bone cysts (ABCs) were first described by Jaffe and Lichtenstein in 19421. Eighty percent of these lesions occur during the first two decades of life2; the most common location is the metaphysis of long bones. To the best of our knowledge, only four cases of individuals with multiple ABCs occurring over a period of time (metachronous ABCs) have been described to date3-6 (Table I). The cases all have been similar in presentation, imaging, and pathology to solitary ABCs; the only difference has been regarding the sex of the patient. While solitary ABCs have been shown to be predominant in females (62%)7, the reported cases of metachronous ABCs have all occurred in males. We report the case of an adolescent girl with multiple ABCs presenting separately in the proximal part of the femur and the distal part of the humerus over a five-month period. The patient and her parents were informed that data concerning the case would be submitted for publication, and they provided consent.
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