Manejo de fractura en hueso patológico en la infancia: picnodisostosis

ResumenLa picnodisostosis es una enfermedad poco común que pertenece a las displasias esqueléticas que presentan fragilidad ósea y fracturas frecuentes. Radiológicamente se caracteriza por incremento de la densidad y fragilidad óseas.ObjetivoPresentar el caso de un escolar con displasia esquelética con fracturas en hueso patológico y manejo quirúrgico.Caso clínicoEscolar de sexo femenino, con antecedente de picnodisostosis detectado en etapa preescolar. Consulta posterior a caída de bicicleta con fractura de ambos fémures que se manejan quirúrgicamente con placa de compresión bloqueada.Nivel de evidencia: IV.

Pycnodysostosis is a rare condition within skeletal dysplasias presenting with brittle bones and frequent fractures. Radiologically, it is characterised by increased bone density and fragility.ObjectiveTo present the case of a primary schoolchild with skeletal dysplasia with pathological bone fractures and their surgical management.Case reportA female primary schoolchild with a history of pycnodysostosis detected during the pre-school period. She was seen after bicycle fall that resulted in the fracture of both femurs, that were surgically managed with a locking compression plate.Level of evidence: IV