Pediatric Pathological Fractures

Pathological fractures in children can be seen in various conditions such as tumors, metabolic diseases and infection. Among these conditions, we encounter patholog- ical fractures most frequently caused by benign or malignant tumors. Pathological fractures resulting from benign and malignant bone tumors should be recognized early and treated appropriately by an orthopedic surgeon. The most common be- nign tumors that cause pathological fractures in children are simple (unicameral) bone cysts, aneurysmal bone cysts, non-ossifying fibroma and fibrous dysplasia. Al- though primary malignant bone tumors rarely cause pathological fractures, these tumors should be recognized as soon as possible for better results. A detailed histo- ry, physical examination and radiological examination; It is necessary to reveal the cause and direct it to the right treatment. Most benign lesions do not have a problem with fracture union, and the lesion can be treated when the fracture occurs or after the fracture has healed. A multidisciplinary approach is required in the treatment of pediatric patients with malignancy. Pathological fractures should not be treated by amputation; these fractures may heal and limb salvage surgery may be performed when indicated