Commonest location of aneurysmal bone cyst is: September 2006
**Core Concept**
Aneurysmal bone cysts (ABCs) are a type of benign bone lesion characterized by a fluid-filled, expansile cavity within the bone. They are most commonly seen in the metaphyseal region of long bones.
**Why the Correct Answer is Right**
The metaphyseal region is the most common site for ABCs due to the rapid growth of bone tissue in this area during childhood and adolescence. The cysts often arise from the medullary cavity and expand into the surrounding cortical bone, leading to a characteristic radiographic appearance. The growth of ABCs is thought to be related to the abnormal proliferation of blood vessels, which can lead to the formation of a fluid-filled cavity.
**Why Each Wrong Option is Incorrect**
**Option A:** While ABCs can occur in the diaphysis (shaft) of long bones, this is less common than the metaphyseal location.
**Option B:** The epiphysis (end) of long bones is not a typical location for ABCs, which usually arise in the metaphyseal region.
**Option C:** The pelvis is a possible location for ABCs, but it is not the most common site.
**Clinical Pearl / High-Yield Fact**
Aneurysmal bone cysts are more common in the lower extremities, particularly in the femur and tibia, and often present with pain and swelling in the affected limb.
**Correct Answer:** C. Pelvis