Luis Rodríguez-Nogué1, Alberto Hernández-Fernández1, Cristian Pinilla-Gracia1, Victoria E Gómez-Palacio1, Jorge Gil-Albarova1,2

1Orthopedic and Trauma Surgery Service, Miguel Servet University Hospital, Zaragoza, Spain
2Department of Surgery, Faculty of Medicine, University of Zaragoza, Zaragoza, Spain

Keywords: Aneurysmal bone cyst, child, clavicle, free fibular graft, reconstruction method


The clavicle is an infrequent location for primary tumors in general, and aneurysmal bone cyst (ABC) of the clavicle is particularly rare. The challenge of the functional and esthetic result in the treatment of these lesions in the pediatric population is high when considering the reconstruction of critical bone defects. In this article, we present the case of a seven-year-old boy with an ABC in the middle third of the clavicle, treated by resection and reconstruction with free autograft of the fibula stabilized by using an intramedullary titanium nail. We offer a description of the used technique, considerations about treatment options in children, and a follow-up of more than two-and-a-half years.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.


Special thanks to Dr. A. Sobrino-Prados from Servicio de Anatomía Patológica, Hospital Universitario Miguel Servet, for providing us the histological image of Figure 4.