Abstract
A 13-year-old boy with progressive calf pain A 13-year-old boy was seen on the consultation because of progressively increasing pain in the posterior aspect of the right lower leg after falling off his bicycle about 6 weeks earlier. He described the pain as stabbing, burning and tingling. The clinical examination showed a positive straight leg raise test, an altered sensation in the painful region and an absent achilles reflex. These findings suggested a neurological problem at the level of the lumbosacral spine. Due to the presence of clusters of red flags, further diagnostic imaging of the lumbosacral spine was performed. An MRI showed an aneurysmal bone cyst with compression of nerve roots S1 and S2.
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