Solitary bone lesion that does not arise from metaphysis is
Correct Answer: Giant cell tumour
Description: Differential diagnosis of a solitary bone lesion Features Giant cell tumour Simple bone cyst Aneurysmal bone cyst Fibrous dysplasia Age 20-40 yrs < 20 yrs 10-40 yrs 20-30 yrs Common bones Lower femur, Upper tibia Lower radius Upper humerus Upper femur Tibia, Humerus Neck of the femur, Tibia Location Epiphysis Metaphysis Metaphysis Metaphysis X-ray Soap-bubble appearance, Eccentrically placed Maximum width less than width of the growth plate Distending lesion, 'ballooning' the bone Multi-loculated Ground-glass appearance Trabeculations++ Treatment preferred Excision Curettage and bone graft Curettage and bone graft Curettage and bone graft Reference: Maheshwari; Essential Ohopaedics; Page no: 237
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Orthopaedics
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