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Case Reports
. 2011 Nov;469(11):3266-70.
doi: 10.1007/s11999-011-2054-0.

Orthopaedic case of the month: Elbow pain in a 9-year-old boy

Mathew Hamula  1 , Nick Pappas, Kristen Thomas, John Dormans
Affiliations
Case Reports

Orthopaedic case of the month: Elbow pain in a 9-year-old boy

Mathew Hamula et al. Clin Orthop Relat Res. 2011 Nov.
No abstract available

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Figures

Fig. 1A–B
Fig. 1A–B
(A) AP and (B) lateral radiographs show a lytic lesion in the right distal humerus.
Fig. 2A–B
Fig. 2A–B
(A) AP and (B) lateral radiographs taken 1 month after initial films show the lesion has increased in size.
Fig. 3A–C
Fig. 3A–C
Noncontrast T2-weighted (A) axial, (B) coronal, and (C) sagittal MRI scans of the right elbow show an increased signal located at the distal humerus. Periosteal elevation and soft tissue edema can be seen flanking the distal humerus.
Fig. 4A–B
Fig. 4A–B
(A) Original magnification and (B) 10× magnification of tissue specimen showing Langerhans cells surrounded by eosinophils (Stain, hematoxylin & eosin).
Fig. 5A–B
Fig. 5A–B
(A) Original magnification and (B) 20× magnification confirming the presence of Langerhans cells (Stain, CD1a).
Fig. 6A–B
Fig. 6A–B
(A) AP and (B) lateral radiographs of the humerus taken 9 months after biopsy show near complete resolution of the lesion.
See this image and copyright information in PMC

References

    1. Arkader A, Glotzbecker M, Hosalkar H, Dormans JP. Primary musculoskeletal Langerhans cell histiocytosis in children: an analysis over a 3-decade period. J Pediatr Orthop. 2009;29:201–207. doi: 10.1097/BPO.0b013e3181982aa2. - DOI - PubMed
    1. Dormans JP, Drummond DS. Pediatric hematogenous osteomyelitis: new trends in presentation, diagnosis, and treatment. J Am Acad Orthop Surg. 1994;2:333–341. - PubMed
    1. Egeler RM, D’Angio GJ. Langerhans cell histiocytosis. J Pediatr. 1995;127:1–11. doi: 10.1016/S0022-3476(95)70248-2. - DOI - PubMed
    1. Egeler RM, Thompson RC, Jr, Voute PA, Nesbit ME., Jr Intralesional infiltration of corticosteroids in localized Langerhans’ cell histiocytosis. J Pediatr Orthop. 1992;12:811–814. doi: 10.1097/01241398-199211000-00021. - DOI - PubMed
    1. Erol B, Dormans JP, States L, Pawel B. Tumors. In: Cramer KE, Scherl S, eds. Pediatrics, Orthopaedic Surgery Essentials. Philadelphia, PA: Lippincott Williams & Wilkins; 2004:250–270.

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