Case of the Month, September 2018

Submitted by  Peyman Kangavari, MD and Thomas Learch, MD.

History of Present Illness

7-year-old female presented to the orthopedic surgeon's office complaining of 3 weeks of right arm pain, which began after patient was hit with a handball. Initial radiographs of the right arm were obtained in the office, which demonstrated a lytic lesion in the right humeral diaphysis.

 Fontal and lateral radiographs of the right arm demonstrate a lytic lesion in the mid-distal right humeral diaphysis, with adjacent non-aggressive appearing periosteal reaction. No fracture or other lesion is seen.

What’s the next step in management? 

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