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"SIMPLE BONE CYST"

“ Also known as a unicameral bone cyst, it is more common in males and most common from 5-15 years of age ( 70%). PLAIN FILM  •   Central m...

Also known as a unicameral bone cyst, it is more common in males and most common from 5-15 years of age (70%).
PLAIN FILM 

•  Central metaphyseal/diaphyseal lesion in a long tubular bone (especially proximal humerus, proximal femur and tibia).
•  It is a well-defined central lucency lying in the long axis of the bone and marginated by a thin sclerotic rim.
•  The bone is typically mildly expanded (symmetrical).
•  Look for a fracture and subsequent ‘fallen fragment’.

 Simple bone cyst. Frontal radiograph of the left shoulder demonstrating a lucent expansile lesion with a narrow zone of transition centred on the metadiaphyseal region. There is an associated fracture with a fragment at the inferior aspect of the lesion in keeping with a ‘fallen fragment’ sign that is pathognomonic of a simple bone cyst.