In children, skeletal lesions are likely to progress. There may be extension of existing lesions and the involved bones may show increasing deformity. New lesions may appear in areas that were previously normal. Following maturity, the lesions tend to be stabilized in respect to growth, but they still have woven trabecular bone not lamellar bone patterns. The lesions do not become sclerotic and there is no concentration of trabeculae along stress lines.
Healing occurs with periosteal callus usually within a normal time frame.
Delayed union or nonunion are very rare. Pathologic fracture managed by standard methods according to the site of fracture. Suboptimal alignment will not remodel with time and should not be tolerated. Indications-Fractures that cause significant or progressive deformity that jeopardizes the integrity of the bone. Cosmetically disfiguring or symptomatic fractures causing pain.