DOI: 10.36347/sjams.2016.v04i09.006

Pages: 3213-3218

A 3 year old girl diagnosed with pathological fracture of the lower end of right tibia due to Aneurysmal Bone Cyst (histopathological and radiological diagnosis) who underwent curettage of the lytic lesion and filling of the defect with fibula strut graft and synthetic bone substitute, presented to us three months after the procedure due to recurrence of pain and limp. X-ray shows recurrence of radiolucency at the distal end of tibia. The location and dimension of the lesion was ascertained with a CT scan of the leg. With a bone biopsy needle, contents aspirated and filled with 3% Polidocanol which was repeated after a 4 week interval. She was evaluated periodically with radiographs. She was asymptomatic and started playful activities with ease. Each successive radiograph showed regression of the lytic lesion and reduction of pain. Last X-ray taken one and half years post infiltration showed no evidence of a lytic lesion.