ANEURSYMAL BONE CYST OF THE PROXIMAL PHALANX OF THE THUMB IN A CHILD

Hand Surgery ◽  
2002 ◽  
Vol 07 (01) ◽  
pp. 147-150 ◽  
Author(s):  
J. A. Sproule ◽  
E. Salmo ◽  
G. Mortimer ◽  
M. O'Sullivan
Keyword(s):  
Paediatric Patient ◽  
Therapeutic Intervention ◽  
Bone Cyst ◽  
Proximal Phalanx ◽  
Bone Cysts ◽  
Rare Occurrence ◽  
Local Behaviour ◽  
Autologous Bone Grafting ◽  
Autologous Bone ◽  
Small Bones

Aneursymal Bone Cysts (ABCs) involving the hand are a rare occurrence. We report a case of an ABC of the proximal phalanx of the thumb in a boy which was treated successfully with curettage and autologous bone grafting. When the diagnosis of ABC of the small bones of the hand is entertained, prompt therapeutic intervention is indicated because of the potential for aggressive local behaviour. In the paediatric patient, simple surgery to preserve the growth plate is recommended.

scholarly journals Arthroscopic curettage and bone grafting of aneurysmal bone cyst of the talar body: A case report

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Minh Thắng Hoàng ◽  
Keyword(s):  
Bone Grafting ◽  
Bone Cyst ◽  
Giant Aneurysm ◽  
University Hospital ◽  
Entire Body ◽  
Open Approach ◽  
Bone Cysts ◽  
Tumor Removal ◽  
Autologous Bone Grafting ◽  
Autologous Bone

Tóm tắt Nang xương phình mạch thân xương sên là tổn thương lành tính, hiếm gặp. Lấy u, ghép xương tự thân là biện pháp điều trị được nhiều tác giả ghi nhận. Tiếp cận u thân xương sên gặp khó khăn do phẫu trường trật hẹp, nguồn mạch nuôi nghèo nàn và gần như toàn bộ bề mặt thân xương sên là sụn khớp. Nội soi khớp cổ chân lấy u, ghép xương tự thân trong điều trị nang xương phình mạch thân xương sên là một bước tiến, nhiều ưu điểm, khắc phục được những khó khăn nêu trên, tuy nhiên là một kỹ thuật khó. Chúng tôi báo cáo một trường hợp nang nêu trên, tuy nhiên là một kỹ thuật khó. Chúng tôi báo cáo một trường hợp nang xương phình mạch khổng lồ chiếm toàn bộ thân xương sên, được phẫu thuật lấy u, ghép xương tự thân qua nội soi khớp cổ chân tại Bệnh viện Hữu nghị Việt Đức , kết quả sau mổ tốt, không tái phát sau 32 tháng theo dõi. Abstract Talus aneurysm bone cysts are benign, rare. Tumor removal and bone grafting has been reported by many authors. Open approach to talus body is difficult due to the narrow surgical area, blood supply and almost surface of talus is articular cartilage. Ankle arthroscopic for tumor removal, autologous bone grafting in treatment of talus aneurysm bone cysts is an advantage but difficult technique, overcoming the difficulties mentioned above. We report a case of a giant aneurysm bone cyst that occupies the entire body of the talus, treatment with ankle arthroscopic tumor removal, autologous bone grafting at Vietduc University Hospital, good result, no reccurrent after 32 months of follow-up. Keywords: Ankle arthroscopic, aneurysm bone cyst, talus body.

1678 A Rare Example of a Simple Bone Cyst of The Ascending Ramus in A Paediatric Patient

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
G Aruede ◽  
E Carey ◽  
K Bhatia ◽  
K Smart
Keyword(s):  
Paediatric Patient ◽  
Incidental Finding ◽  
Bone Cyst ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Bone Cysts ◽  
Simple Bone Cyst ◽  
Jaw Bones ◽  
Post Surgery ◽  
Multilocular Radiolucency

Abstract A simple bone cyst is described as an intra-osseous pseudocyst, devoid of an epithelial lining and either empty of filled with serous or sanguineous fluid. This case presents a rare example of a simple bone cyst of the ascending ramus of the mandible in a paediatric patient. Studies have shown that less than 5% of simple bone cysts of the jaw bones are located within the mandibular ramus, with the most common site being the premolar-molar region (75%). The 14-year-old female was referred by her orthodontist to the local Oral and Maxillofacial department, for an incidental finding on her pre-orthodontic OPT of a radiolucency in the left ascending ramus. Her medical history was clear, she was asymptomatic and had no sensory deficit. A CT scan demonstrated a 22mm multilocular radiolucency centred on the left ascending ramus, extending superiorly up to the base of the coronoid process and condylar neck. Inferiorly, the radiolucency abutted but did not involve the unerupted third molar. The scan highlighted thinning of the buccal and lingual cortices putting the patient at risk of pathological fracture. The inferior alveolar nerve canal passed through the lingual aspect of the radiolucency. The patient underwent exploration of the left mandible which revealed an empty bony cavity, with no cystic lining or contents. The definitive diagnosis of a simple bone cyst was established. She experienced satisfactory healing by her review appointment 4 weeks post-surgery. Combined radiographic and clinical assessment is important in the diagnosis of simple bone cysts.

scholarly journals Aneurysmal bone cyst in proximal phalanx treated without bone grafting

2020 ◽  
Vol 6 (3) ◽  
pp. 632
Author(s):  
Palanisami R. S. ◽  
Srinivasan Rajappa ◽  
Raghavendran .
Keyword(s):  
Magnetic Resonance Imaging ◽  
Aneurysmal Bone Cyst ◽  
Bone Grafting ◽  
Benign Lesion ◽  
Bone Cyst ◽  
Proximal Phalanx ◽  
Female Child ◽  
Definite Diagnosis ◽  
Rare Occurrence ◽  
Resonance Imaging

<p class="abstract">Aneurysmal bone cyst involving the hand are a rare occurrence especially in the proximal phalanx. We report a case of 5 years old female child with proximal phalanx aneurysmal bone cyst treated without bone grafting. Magnetic resonance imaging may show fluid filled spaces but definite diagnosis can only be obtained histologically. It is a benign lesion still it can involve growth plate hence intervention is necessary. The treatment includes curettage with or without bone grafting.</p>

scholarly journals Re-operation rate after surgical treatment of osteochondral lesions of the talus in paediatric and adolescent patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel Körner ◽  
Christoph E. Gonser ◽  
Stefan Döbele ◽  
Christian Konrads ◽  
Fabian Springer ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Bone Grafting ◽  
Cartilage Damage ◽  
Osteochondral Lesions ◽  
Retrograde Drilling ◽  
Autologous Bone Grafting ◽  
Operation Rate ◽  
Group A ◽  
Autologous Bone ◽  
Group B

Abstract Background The aim of this study is to analyse the re-operation rate after surgical treatment of osteochondral lesions of the talus (OCLTs) in children and adolescents. Methods Between 2009 and 2019, 27 consecutive patients with a solitary OCLT (10 male, 17 female; mean age 16.9 ± 2.2 years; 8 idiopathic vs. 19 traumatic) received primary operative treatment (arthroscopy + bone marrow stimulation [BMS], n = 8; arthroscopy + retrograde drilling, n = 8; autologous chondrocyte implantation [ACI]/autologous bone grafting, n = 9; arthroscopy + BMS + retrograde drilling; n = 1; flake fixation, n = 1). Seventeen OCLTs were located at the medial and ten at the lateral talus. ‘Re-operation’ as the outcome measure was evaluated after a median follow-up of 42 months (range 6–117 months). Patients were further subdivided into groups A (re-operation, n = 7) and B (no re-operation, n = 20). Groups A and B were compared with respect to epidemiological, lesion- and therapy-related variables. Results Seven of 27 patients needed a re-operation (re-operation rate 25.9% after a median interval of 31 months [range 13–61 months]). The following operative techniques were initially used in these seven patients: arthroscopy + BMS n = 2, arthroscopy + retrograde drilling n = 4, ACI + autologous bone grafting n = 1. A comparison of group A with group B revealed different OCLT characteristics between both groups. The intraoperative findings according to the International Cartilage Repair Society (ICRS) classification revealed significantly more advanced cartilage damage in group B than in group A (p = 0.001). Conclusions We detected a re-operation rate of 25.9% after primary surgical OCLT treatment. Patients with re-operation had significantly lower ICRS classification stages compared to patients without re-operation.

Aneurysmal Bone Cyst: A Review of 150 Patients

2005 ◽  
Vol 23 (27) ◽  
pp. 6756-6762 ◽  
Author(s):  
Henry J. Mankin ◽  
Francis J. Hornicek ◽  
Eduardo Ortiz-Cruz ◽  
Jorge Villafuerte ◽  
Mark C. Gebhardt
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Local Recurrence Rate ◽  
Bone Cyst ◽  
Secondary Development ◽  
Bone Cysts ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Treatment Protocols ◽  
Imaging Appearance ◽  
Aneurysmal Bone Cysts

PurposeWe have reviewed a series of 150 aneurysmal bone cysts treated over the last 20 years.Patients and MethodsThe lesions were principally located in the tibia, femur, pelvis, humerus, and spine and, in most cases, presented the imaging appearance originally described by Jaffe and Lichtenstein as a blowout with thin cortices.ResultsOnly one of the patients was believed to have an osteoblastoma of the spine with secondary development of an aneurysmal bone cyst, and none of the patients developed additional lesions. The patients were treated primarily with curettage and implantation of allograft chips or polymethylmethacrylate, but some patients were treated with insertion of autografts or allografts. The local recurrence rate was 20%, which is consistent with that reported by other centers.ConclusionAneurysmal bone cysts are enigmatic lesions of unknown cause and presentation and are difficult to distinguish from other lesions. Overall, the treatment is satisfactory, but it is possible that newer approaches, such as improved magnetic resonance imaging studies, may help diagnose the lesions and allow the physicians to plan for more effective treatment protocols.

Aneurysmal Bone Cyst of the Proximal Phalanx

1990 ◽  
Vol 15 (4) ◽  
pp. 482-483 ◽  
Author(s):  
N. H. M. MORTENSEN ◽  
E. KUUR
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Proximal Phalanx

scholarly journals Aneurysmal Bone Cyst Involving the Pisiform: A Case Report

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. NP55-NP57
Author(s):  
Eduardo P. Zancolli ◽  
John M. Ranson ◽  
Sunil M. Thirkannad
Keyword(s):  
Bone Cyst ◽  
Pathologic Fracture ◽  
Surgical Excision ◽  
Subsequent Treatment ◽  
Uneventful Recovery ◽  
Bone Cysts ◽  
Primary Bone Tumors ◽  
Ulnar Nerve Compression ◽  
Left Hand ◽  
Aneurysmal Bone Cysts

Background: Aneurysmal bone cysts are an uncommon form of benign primary bone tumors; affection of the hand is very rare. Methods: A rigorous review of the literature showed that this type of tumor has not previously been described in the pisiform. In this article, we report the occurrence of an aneurysmal bone tumor in the pisiform of the left hand of a 19-year-old male. Results: This tumor was successfully treated through surgical excision with an uneventful recovery. We describe the process behind the diagnosis of the lesion and the subsequent treatment in an attempt to highlight the rare but possible occurrence of aneurysmal bone cysts in the pisiform. Conclusion: Appropriate treatment of aneurysmal bone cysts in this location is required, due to the anatomical nature of the pisiform itself with the risks of pathologic fracture and ulnar nerve compression.

scholarly journals Scintigraphy Peculiarities of Bone Solitary Cyst in Children and Adolescents

2004 ◽  
Vol 11 (2) ◽  
pp. 69-73
Author(s):  
A P Bergaliev ◽  
A P Pozdeev ◽  
A N Bergaliev ◽  
A P Pozdeev
Keyword(s):  
Children And Adolescents ◽  
Bone Tissue ◽  
Functional Activity ◽  
Blood Circulation ◽  
Bone Cyst ◽  
Pathologic Fracture ◽  
Bone Cysts ◽  
Solitary Bone Cyst ◽  
Cyst Recurrence ◽  
Typical Picture

Study of blood circulation intensity and bone tissue functional activity was performed in 81 children bone cysts (including 10 children with cyst recurrence) using polyphasic scintigraphy. Most typical picture in presence or absence of pathologic fracture as well as in pathologic recurrence is described. Interrelation between the fracture and rate of cyst recurrence is detected. Scintigraphic criterion for prognosing of solitary bone cyst recurrence is suggested.

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