scholarly journals Pelvic Girdle Reconstruction Based on Spinal Fusion and Ischial Screw Fixation in a Case of Aneurysmal Bone Cyst

Sarcoma ◽  
2003 ◽  
Vol 7 (3-4) ◽  
pp. 177-182 ◽  
Author(s):  
Matthias Honl ◽  
Florian Westphal ◽  
Volker Carrero ◽  
Michael Morlock ◽  
Karsten Schwieger ◽  
...  
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Iliac Crest ◽  
Screw Fixation ◽  
Pelvic Ring ◽  
Bone Cyst ◽  
Pedicle Screws ◽  
Lytic Lesion ◽  
Titanium Plate ◽  
Lower Lumbar Spine ◽  
Lower Lumbar

A case of lytic lesion of the pelvis in a 23-year-old woman is presented. A biopsy led to the diagnosis aneurysmal bone cyst (ABC). Due to the histologically very aggressive growth of the tumor, a low malignant osteosarcoma could not be excluded. In an initial operation the tumour, affecting the sacrum, the iliac crest and the lower lumbar spine was resected. Temporary restabilisation of the pelvic ring was achieved by a titanium plate. The histological examination of the entire tumour confirmed the diagnosis ABC. After 6 months, the MRI showed no recurrence. The observed tilt of the spine to the operated side on the sacral base prompted a second surgical procedure: a transpedicular fixation of L5 and L4 was connected via bent titanium stems to the ischium, where the fixation was achieved by two screws. This construction allowed the correction of the base angle and yielded a stable closure of the pelvic ring. The patient has now been followed for 6 years: the bone grafts have been incorporated and, in spite of radiological signs of screw loosening in the ischium, the patient is fully rehabilitated and free of symptoms. Pedicle screws in the lower spine can be recommended for fixation of a pelvic ring discontinuity.

scholarly journals A Reconstruction of pelvic ring after Hemipelvectomy and Fibular graft at 39 – years – old man with Aneurysmal Bone Cyst at Iliac bone

2020 ◽  
Vol 3 (1) ◽  
pp. 1-10
Author(s):  
Hendy Rachmat Primana Lubis
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Pelvic Ring ◽  
Bone Cyst ◽  
Plain Radiograph ◽  
Iliac Bone ◽  
Treatment Modalities ◽  
Lytic Lesion ◽  
Wide Resection ◽  
Autogenous Bone ◽  
Fibular Graft

Abstract   Introduction: The ABC (Aneurysmal Bone Cysts) lesion has been reported in the orthopedic literature for more than 60 years; it was first described in 1942 by Jaffe and Lichtenstein.  Aneurysmal bone cyst (ABC) in pelvic is a benign, expansile osteolytic lesion that typically affects the metaphysis of long bones in the second decade of life and occurring in patients less than 20 years. The Several ABC treatment modalities had been utilized including wide resection, intralesional resection/curettage with or without different adjuvants, radiation, embolization, intralesional sclerotherapy. Case Report: We present a rare case of a huge aneurysmal bone cyst (ABC) in the iliac bone, occurring in the male patient 4th decade of life. The patient presented with a history of pain and huge pelvic mass size 8x6x5 cm extend to abdominal region for 5 years. Plain radiograph and computed tomography showed expansile lytic lesion arising from the all right iliac bone extend to Lumbar 5. A biopsy was performed and histology confirmed diagnosis of aneurysmal bone cyst. The patient was managed surgically with hemipelvectomy type 1 and Autogenous bone graft from fibula and reconstruction with plate and screw for pelvic ring with and re-attach the muscle on it. Follow up 5 months after surgery the patient can squat and stand maximally with no pain, nor recurrence and can return to normal activity. Conclusion: Early diagnosis and complete resection of tumor and treatment of relevant symptoms represent a viable treatment for this rare disorder to achieve increased life expectancy, low recurrence of tumor and improved quality of life.   Keywords: Aneurysmal bone cyst, Pelvis, hemipelvectomy

scholarly journals Chondroblastoma: An Update

2017 ◽  
Vol 141 (6) ◽  
pp. 867-871 ◽  
Author(s):  
Wenqian Chen ◽  
Lisa M. DiFrancesco
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Cyst Formation ◽  
Giant Cells ◽  
Lytic Lesion ◽  
Primary Bone Tumor ◽  
Hemosiderin Deposition ◽  
Secondary Aneurysmal Bone Cyst ◽  
Primary Bone ◽  
Chondroblastic Osteosarcoma

Chondroblastoma is a rare primary bone tumor of young people that typically arises in the ends of the long bones. Radiologic investigations show a small, circumscribed, lytic lesion. The tumor is characterized histologically by the proliferation of chondroblasts along with areas of mature cartilage, giant cells, and occasionally, secondary aneurysmal bone cyst formation. Chondroblastoma, however, may also present with atypical features, such as prominent hemosiderin deposition, numerous giant cells, or the presence of a large aneurysmal bone cyst component. Malignant entities such as clear cell chondrosarcoma and chondroblastic osteosarcoma must also be considered. Recently, immunohistochemical stains such as DOG1 and SOX9 have been described in chondroblastoma, and K36M mutations in either the H3F3A or H3F3B genes have also been identified. While generally regarded as a benign entity, chondroblastoma manifests an intermediate type of behavior, given its ability to recur locally, and rarely, metastasize.

Medial malleolar osteotomy for intralesional curettage and bone grafting of primary aneurysmal bone cyst of the talus

2021 ◽  
Vol 14 (5) ◽  
pp. e242452
Author(s):  
Sujit Tripathy ◽  
Paulson Varghese ◽  
Sibasish Panigrahi ◽  
Lubaib Karaniveed Puthiyapura
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Cystic Lesion ◽  
Articular Surface ◽  
Weight Bearing ◽  
Bone Cyst ◽  
Lytic Lesion ◽  
Intralesional Curettage ◽  
Medial Malleolar Osteotomy ◽  
Fluid Levels

Access to the cystic lesion of the talar body without damage to the articular surface is difficult. This case report is about a 23-year-old man who had a symptomatic huge cystic lesion in the left-sided talus bone. Radiograph and CT scan showed an expansile lytic lesion within the talar body. The MRI revealed a well-defined lesion with fluid-fluid levels. The needle biopsy aspirate was haemorrhagic, and hence a diagnosis of the aneurysmal bone cyst was made. As the lesion was beneath the talar dome with an intact neck and head, a medial approach with medial malleolar osteotomy was performed. The lesion was curetted out, and the cavity was filled up with a morselised bone graft. The limb was splinted for 6 weeks, and complete weight bearing was started after 3 months. At 1-year follow-up, the lesion was found to be healed up, and the patient was pain-free with no recurrence.

Sclerotherapy treatment of an assumed aneurysmal bone cyst in a dog

2020 ◽  
Vol 8 (1) ◽  
pp. e000975
Author(s):  
Agustina Anson ◽  
Marta Soler ◽  
Miryam Martinez ◽  
Jose Murciano ◽  
Amalia Agut
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Ultrasound Guidance ◽  
Ultrasound Examination ◽  
Bone Cyst ◽  
Lytic Lesion ◽  
Conventional Surgery ◽  
Presumptive Diagnosis ◽  
Safe Alternative ◽  
Percutaneous Sclerotherapy

A 3-month-old, 18 kg, female St Bernard breed dog was presented with recurrent left forelimb lameness and painful swelling of the antebrachium. A large expansile lytic lesion within the left ulna was observed on radiographs. Ultrasound examination revealed a cyst-like structure. Sanguineous fluid was obtained in association with ultrasound guidance. A presumptive diagnosis of aneurysmal bone cyst (ABC) was made. Percutaneous sclerotherapy (PS) with ethanol 95 per cent was performed. Follow-up radiographic examinations showed progressive remodelling. Limb function was normal after 9 months. PS with ethanol was a safe alternative to conventional surgery for the treatment of an ABC in this case.

scholarly journals Clinical and Radiological Evaluation of Pedicle Screw Fixation for Burst Fractures of Lower Lumbar Spine.

1995 ◽  
Vol 44 (2) ◽  
pp. 565-569
Author(s):  
Yukio Kinjo ◽  
Sakae Sato ◽  
Tetsuya Yara ◽  
Shintoku Isa ◽  
Yutaka Tanahara ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Pedicle Screw ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Radiological Evaluation ◽  
Burst Fractures ◽  
Lower Lumbar Spine ◽  
Lower Lumbar

scholarly journals Foreign Body Granuloma: A Diagnosis Not to Forget

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
I. El Bouchti ◽  
F. Ait Essi ◽  
I. Abkari ◽  
M. Latifi ◽  
S. El Hassani
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Osteoid Osteoma ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Foreign Body Granuloma ◽  
Lytic Lesion ◽  
Acute Osteomyelitis ◽  
Penetrating Wounds

Penetrating wounds of the foot are not uncommon. Many are caused by thorns or by fragments of wood that are retained in the foot, creating a foreign-body granuloma. The differential diagnosis for bony reaction to an unrecognised organic foreign body includes osteoid osteoma, chronic and acute osteomyelitis, tuberculosis granuloma, bone cyst, aneurysmal bone cyst, cortical fibrous defect, and neoplasm. We report the case of a boy suffering from a thorn inducing a lytic lesion of the fifth metatarsal that demonstrates the diagnosis difficulties of foreign body granuloma.

scholarly journals A Lytic Lesion in Proximal Phalanx of Hand: A Case Report and Diagnostic Approach

2021 ◽  
pp. 145-151
Author(s):  
Kalyan Deepak Sreenivas ◽  
Sathyanarayanan Parthasarathy ◽  
Akashdeep Ambikakumari Ajayakumar
Keyword(s):  
Iliac Crest ◽  
Bone Cyst ◽  
Proximal Phalanx ◽  
Percutaneous Biopsy ◽  
Diagnostic Approach ◽  
Lytic Lesion ◽  
The Past ◽  
Lytic Lesions ◽  
Magnetic Resonance Imaging Mri ◽  
Fluid Levels

Lytic lesions arising in the hand can be confused with an enchondroma. Enchondroma is the most common tumor of the hand and can present with varied features. It often requires only observation. A dilemma arises when surgically treatable lesions like aneurysmal bone cyst (ABC) present in uncommon locations like the hand. To diagnose a lytic lesion in the hand, percutaneous biopsy is commonly done. But, percutaneous biopsy is unnecessary in enchondroma and may not be useful in conditions like simple bone cyst and ABC. In such situations, magnetic resonance imaging (MRI) can differentiate between the most frequent benign lesions of the hand thereby reducing the need for invasive procedures. We present a 25-year-old lady who presented with a painless right index finger swelling for the past 6 months. Radiographs revealed a lytic expansile lesion in the proximal phalanx of the hand. MRI showed multiple fluid-fluid levels. Curettage and autologous iliac crest bone grafting was done. Histopathology confirmed the diagnosis of an ABC. The patient was followed up for 12 months without any recurrence. We briefly review the paucity of literature on the diagnostic approach to benign lytic lesions of the hand.

scholarly journals ANEURYSMAL BONE CYST OF THE CLAVICLE IN CHILDREN (CLINICAL CASES AND TREATMENT)

2014 ◽  
Vol 2 (3) ◽  
pp. 34-39
Author(s):  
Timur Faizovich Zubairov ◽  
Edgar Valentinovich Bukharev ◽  
Ekaterina Anatolievna Zakharyan
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Aneurysmal Bone Cyst ◽  
Iliac Crest ◽  
Structural Integrity ◽  
Plastic Material ◽  
Bone Cyst ◽  
Autogenous Bone ◽  
Observation Period ◽  
Abnormal Tissue

The purpose. To examine the results of the treatment of children with aneurysmal cyst of the clavicle. Material and methods. The results of examination and treatment of patients aged 16 and 17 years with a diagnosis of aneurysmal cyst of the clavicle. All patients underwent surgical treatment with the ABC stage delimitation. We used a surgical technique, which consists in open removement of the abnormal tissue with replacement of the bone defect with bone-plastic material or autogenous bone from the iliac crest. Conclusions. The method of treatment of aneurysmal bone cyst of the clavicle must be individualized depending on the location, aggressiveness and extent of the lesion. The use bone-plastic material or autogenous bone from the iliac crest restore the structural integrity of a compromised clavicle gives good results in the observation period of up to 2 years.

scholarly journals A rare case report of aneurysmal bone cyst involving the roof of the orbit

2013 ◽  
Vol 02 (02) ◽  
pp. 203-206
Author(s):  
Chugh Ashish ◽  
Chaudhari Priyanka ◽  
Gandhi Bhooshan ◽  
Charandeep Gandhoke
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Visual Disturbance ◽  
Vascular Lesion ◽  
Lytic Lesion ◽  
Histopathological Diagnosis ◽  
Orbital Roof ◽  
Rare Case Report ◽  
The Right ◽  
Enhanced Computed Tomography

Abstract Aneurysmal bone cyst (ABC) is a benign, tumor like, multi-cystic vascular lesion that causes destruction of the cortical bone. It usually involves the metaphysis of long bones and spine (posterior elements). ABC arising in the orbit constitutes less than 0.25% of all reported cases. We report a 5-year-old girl who presented with painless right sided proptosis without any visual disturbance, which was gradual in onset. Contrast enhanced computed tomography and magnetic resonance imaging scans of the orbit were suggestive of an expansile bony lytic lesion in the roof of the right orbit. Frontal craniotomy followed by the supra-orbital osteotomy was carried out. The entire tumor-like mass was removed piece-meal. Histopathological diagnosis was “a solid variant of ABC of the orbital roof.” Post-operative course was satisfactory and the patients eye symptoms improved.

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