HomeCasesFallen fragment sign of unicameral bone cyst
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XRMusculoskeletalConfirmedFRCR 2B

Fallen fragment sign of unicameral bone cyst

120 views56y Female10/9/2026

6 year old girl post fall. She injured her left humerus 2 days ago, and has ongoing shoulder/proximal humerus pain since. Restricted motion of the shoulder joint. No neurovascular deficit.

  • 1Slightly expansile, lucent lesion in the proximal humeral diaphysis with lateral cortical break in keeping with an acute pathological fracture
  • 2A fallen bone fragment is seen within the lesion
  • 3Annotated fallen fragment sign (arrow).