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Orthopaedics All India exam 556fed73

The most probable diagnosis of the lesion depicted in the X-ray below is (GCT)

A
Simple bone cyst
B
Osteoma
C
Ewings tumour
D
Osteoclastoma
High-Yield Explanation
Osteoclastoma 98% cases are benign with potential for metastasis with female predominance Sites - Distal femur/proximal tibia, lower end of radius, proximal humerus Occurrence - 20 - 40 years Arises from epiphysis Egg shell crackling on palpation X ray finding - Soap bubble appearance HPE - mesenchymal stromal cells Treatment Lower end of femur/Upper end of tibia - Excision with turn-o-plasty Veebra - Radiation Ref: Maheshwari 6e pg 237.

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