scholarly journals Comparison of three treatment methods for simple bone cyst in children

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ke-Xue Zhang ◽  
Wei Chai ◽  
Jia-Jia Zhao ◽  
Jun-Hao Deng ◽  
Zhan Peng ◽  
...  

Abstract Background The unicameral bone cyst (UBC) is a kind of benign tumor whose clinical treatments and efficacy are controversial. The purpose of this study was to evaluate the efficacy of the elastic stable intramedullary nail (ESIN), the injection of autologous bone marrow (ABM), and the combination of ESIN and ABM in the treatment of bone cyst in children. Methods Eighty-three cases with simple bone cyst were analyzed retrospectively. Twenty-eight cases were treated with ABM. Twenty-eight cases were treated with ESIN. Twenty-seven cases were treated with ABM and ESIN. All cases were diagnosed through X-ray, CT, or MRI scans. For the suspicious ones, the pathological biopsy was performed for an accurate diagnosis. X-ray examinations were carried out for the postoperative follow-up. Capanna criteria for bone cyst was used for postoperative evaluation of three methods. Results All cases accomplished the follow-up. The effective rate of the ABM + ESIN group was significantly higher than that of the ABM group (P < 0.05), and the cure rates of the ESIN group and the ABM + ESIN group were higher than that of the ABM group (P < 0.05, respectively). The cure time in the ESIN group was lower than that of the other two groups (P < 0.05, respectively). The times for admission were 2.0 ± 0.0 in the ESIN group, 5.7 ± 1.9 in the ABM group, and 4.7 ± 2.4 in the ABM + ESIN group (P < 0.05 when compared with each other). Conclusions The method of ABM combined with ESIN for children’s bone cyst has the highest effective rate and curative rate. For the individual method, ESIN has a higher effective rate and curative rate than that of ABM. Meanwhile, it has the fewest time of hospitalization.

2021 ◽  
Author(s):  
Ke Xue Zhang ◽  
Wei Chai ◽  
Jia Jia Zhao ◽  
Jun Hao Deng ◽  
Zhan Peng ◽  
...  

Abstract Background The unicameral bone cyst (UBC) is a kind of benign tumor whose clinical treatments and efficacy are controversial. The purpose of this study was to evaluate the efficacy of the elastic stable intramedullary nail (ESIN), the injection of autologous bone marrow (ABM), and the combination of ESIN and ABM in the treatment of bone cyst in children. Methods 83 cases with simple bone cyst were analyzed retrospectively. 28 cases were treated with ABM. 28 cases were treated with ESIN. 27 cases were treated with ABM and ESIN. All cases were diagnosed through X-ray, CT, or MRI scans. For the suspicious ones, the pathological biopsy was performed for an accurate diagnosis. X-ray examinations were carried out for the postoperative follow-up. Capanna criteria for bone cyst was used for postoperative evaluation of three methods. Results All cases accomplished the follow-up. The effective rate of the ABM+ESIN group was significantly higher than that of the ABM group (P<0.05), and the cure rates of the ESIN group and the ABM+ESIN group were higher than that of the ABM group (P<0.05, respectively). The cure time in the ESIN group was lower than that of the other two groups (P<0.05, respectively). The times for admission were 2.0±0.0 in the ESIN group, 5.7±1.9 in the ABM group, and 4.7±2.4 in the ABM+ESIN group (P<0.05 when compared with each other). Conclusions The method of ABM combined with ESIN for children’s bone cyst has the highest effective rate and curative rate. For the individual method, ESIN has a higher effective rate and curative rate than that of ABM. Meanwhile, it has the fewest time of hospitalization.


2020 ◽  
Author(s):  
Ke Xue Zhang ◽  
Wei Chai ◽  
Jia Jia Zhao ◽  
Jun Hao Deng ◽  
Zhan Peng ◽  
...  

Abstract Background Unicameral bone cyst (UBC) is a benign tumor whose clinical treatments and efficacy are controversial. The purpose of this study was to evaluate the efficacy of the elastic stable intramedullary nail (ESIN), the injection of autologous bone marrow (ABM) and the combination of ESIN and ABM in the treatment of simple bone cyst of children. Methods 83 children with simple bone cyst were analyzed retrospectively. 28 cases were treated with ABM. 28 cases were treated with ESIN. 27 cases were treated with ABM and ESIN. All cases were diagnosed through X-ray, CT or MRI scans. For the suspicious ones, pathological biopsy was performed for an accurate diagnosis. X-ray examinations were carried out for the postoperative follow-up. Capanna criteria for bone cyst was used for the postoperative evaluation of the three methods. Results All the cases accomplished the follow-up. The effective rate of ABM+ESIN group was significantly higher than that of the ABM group (P<0.05), and the cure rates of ESIN group and ABM+ESIN group were higher than that of ABM group (P<0.05, respectively). The cure time in ESIN group was lower than that of the other two groups (P<0.05, respectively). The times for admission were 2.0±0.0 in ESIN group, 5.7±1.9 in ABM group and 4.7±2.4 in ABM+ESIN group (P<0.05 when compared with each other). Conclusions The method of ABM combined with ESIN for children bone cyst has the highest effective and curative rates. For individual method, ESIN has a higher effective rate and curative rate than that of ABM. Meanwhile, it has the fewest hospitalizations.


2020 ◽  
Author(s):  
Ke Xue Zhang ◽  
Wei Chai ◽  
Jia Jia Zhao ◽  
Jun Hao Deng ◽  
Zhan Peng ◽  
...  

Abstract Background Unicameral bone cyst (UBC) is a benign tumor whose clinical treatments and efficacy are controversial. The purpose of this study was to evaluate the efficacy of the elastic stable intramedullary nail (ESIN), the injection of autologous bone marrow (ABM) and the combination of ESIN and ABM in the treatment of simple bone cyst of children.Methods 83 children with simple bone cyst were analyzed retrospectively. 28 cases were treated with ABM. 28 cases were treated with ESIN. 27 cases were treated with ABM and ESIN. All cases were diagnosed through X-ray, CT or MRI scans. For the suspicious ones, pathological biopsy was performed for an accurate diagnosis. X-ray examinations were carried out for the postoperative follow-up. Capanna criteria for bone cyst was used for the postoperative evaluation of the three methods.Results All the cases accomplished the follow-up. The effective rate of ABM+ESIN group was significantly higher than that of the ABM group (P<0.05), and the cure rates of ESIN group and ABM+ESIN group were higher than that of ABM group (P<0.05, respectively). The cure time in ESIN group was lower than that of the other two groups (P<0.05, respectively). The times for admission were 2.0±0.0 in ESIN group, 5.7±1.9 in ABM group and 4.7±2.4 in ABM+ESIN group (P<0.05 when compared with each other).Conclusions The method of ABM combined with ESIN for children bone cyst has the highest effective and curative rates. For individual method, ESIN has a higher effective rate and curative rate than that of ABM with the lowest time of admission.


2020 ◽  
Author(s):  
Ke Xue Zhang ◽  
Wei Chai ◽  
Jia Jia Zhao ◽  
Jun Hao Deng ◽  
Zhan Peng ◽  
...  

Abstract Background To evaluate the efficacy of the elastic stable intramedullary nail (ESIN), the injection of autologous bone marrow (ABM) and the combination of ESIN and ABM in the treatment of children simple bone cyst. Methods 83 children with simple bone cyst were analyzed retrospectively. 28 cases were treated with ABM. 28 cases were treated with ESIN. 27 cases were treated with ABM combined with ESIN. All cases were diagnosed through X-ray plains, CT or MRI scans. For the suspicious ones, pathological biopsy was performed for an accurate diagnosis. X-ray examination were carried out for the postoperative follow-up. Capanna criteria for bone cyst was used for the postoperative evaluation of the three methods. Results All the cases accomplished the follow-up. The effective rate of ABM + ESIN group was significantly higher than that of the ABM group (P < 0.05), and the cure rates of ESIN group and ABM + ESIN group were higher than that of ABM group (P < 0.05, respectively). The cure time in ESIN group was lower than that of the other two groups (P < 0.05, respectively). The times for admission were 2.0 ± 0.0 in ESIN group, 5.7 ± 1.9 in ABM group and 4.7 ± 2.4 in ABM + ESIN group (P < 0.05 when compared with each other). Conclusion The method of ABM combined with ESIN for children bone cyst has the highest effective and curative rate.For individual method, ESIN has a higher effective rate and curative rate than that of ABM with the lowest time of admission.


Author(s):  
Maciej Kasprzyk ◽  
Michał Łuczak ◽  
Anna Wawrzyniak ◽  
Leszek Romanowski

Introduction Simple bone cyst is benign fluid-filled lesion localized mainly in long bones. It is usually diagnosed in the first two decades, the most common in proximal humerus. Unicameral bone cyst is o›en asymptomatic but can cause pathological fracture. Aim of the study The aim of our study was to evaluate clinical, diagnostic and treatment factors concerning patients with simple bone cyst. Material and methods The retrospective analysis was performed on 22 patients treated in Department of Traumatology, Orthopaedics and Hand Surgery in Poznań between 2001 and 2017. We have analyzed epidemiological factors: age and sex; symptoms; clinical examination: range of motion, presence of pain; X-ray: localisation, cyst index of Kaelin and MacEwan and presence of pathological fractures; treatment: methods, number of hospitalizations and effectiveness. Results Mean age of patients was 10.8. From 22 patients 11 were females. Generally bone cyst was diagnosed because of pathological fracture – 18 patients (85.7%). Other reasons of X-ray diagnostic were: pain – 2 patients (9.1%), deformity – 1 patient (4.5%), incidentally – 2 patients (9.1%). The bone cyst was localized in humerus – 21 patients (95.5%), radius – 1 patient (4.5%). Treatment methods were various: 7 patients (31.8%) – Depomedrol injections, 4 patients (18.1%) – marrow injections, 4 patients (18.1%) – marrow and Depomedrol injections, 5 patients (22.7%) – injections with additional bone gra›s, 3 patients (13.6%) – only bone gra›s. Conclusions Simple bone cyst occurs generally in young people (under twenty). The most common problem is a pathological fracture. Treatment is long and multistage.


Author(s):  
Nirav G. Soni ◽  
Jaimeen P. Jesalpura

<p class="abstract">The simple bone cyst (SBC) also called unicameral bone cyst is a tumor-like lesion of unknown cause, attributed to a local disturbance of the bone growth. Although the pathogenesis is still unknown, the lesion appears to be reactive or developmental . Traumatic etiology of simple bone cysts remains an enigma up to now. We present a case of 44 year old woman who came with c/o pain in right shoulder due to fall from vehicle 5 months back with X-ray and MRI both suggestive of cystic lesion over greater tuberosity humeral head . Patient was treated with arthroscopic curettage and bone grafting. In the last decade, however, there has been an exponential growth in the use of minimally invasive surgical techniques. This is particularly seen in the shoulder, where multiple arthroscopic and procedures have been described in the treatment of intra- and extra-articular pathologies.</p>


Author(s):  
Maciej Kasprzyk ◽  
Michał Łuczak ◽  
Anna Wawrzyniak ◽  
Leszek Romanowski

Introduction Simple bone cyst is benign fluid-filled lesion localized mainly in long bones. It is usually diagnosed in the first two decades, the most common in proximal humerus. Unicameral bone cyst is often asymptomatic but can cause pathological fracture. Aim of the study The aim of our study was to evaluate clinical, diagnostic and treatment factors concerning patients with simple bone cyst. Material and methods The retrospective analysis was performed on 22 patients treated in Department of Traumatology, Orthopaedics and Hand Surgery in Poznań between 2001 and 2017. We have analyzed epidemiological factors: age and sex; symptoms; clinical examination: range of motion, presence of pain; X-ray: localisation, cyst index of Kaelin and MacEwan and presence of pathological fractures; treatment: methods, number of hospitalizations and effectiveness. Results Mean age of patients was 10.8. From 22 patients 11 were females. Generally bone cyst was diagnosed because of pathological fracture – 18 patients (85.7%). Other reasons of X-ray diagnostic were: pain – 2 patients (9.1%), deformity – 1 patient (4.5%), incidentally – 2 patients (9.1%). The bone cyst was localized in humerus – 21 patients (95.5%), radius – 1 patient (4.5%). Treatment methods were various: 7 patients (31.8%) – Depomedrol injections, 4 patients (18.1%) – marrow injections, 4 patients (18.1%) – marrow and Depomedrol injections, 5 patients (22.7%) – injections with additional bone grafts, 3 patients (13.6%) – only bone grafts. Conclusions Simple bone cyst occurs generally in young people (under twenty). The most common problem is a pathological fracture. Treatment is long and multistage


2020 ◽  
Vol 5 (3) ◽  
pp. 1252-1254
Author(s):  
Gopal Gurung ◽  
Laxmi Prasad Chapagain ◽  
Yagya Bahadur Rokaya

Simple bone cyst (SBC) of the jaws is uncommon, representing approximately 1% of all jaw cysts. It is often accidentally discovered on routine dental examination as it is asymptomatic in most of cases. In this report, we discuss a case of SBC in a 16 years old female who presented in our department for correction of her mal-aligned teeth. On routine x-ray for orthodontic treatment, a well defined, unilocular radiolucent area approximately 3x1cm in size with scalloped borders on the left body of mandible expanding from distal surface of 34 to distal surface of 37 was discovered. Surgical exploration was required for both diagnostic and definitive treatment. The operative finding was hollow cavity without any epithelial lining.


Author(s):  
HELITON GUSTAVO DE LIMA ◽  
CAMILA LOPES CARDOSO ◽  
RAFAEL ZETEHAKU ARAUJO ◽  
ANTHONY BENITES CONDEZO ◽  
CLÁUDIA CURRA ◽  
...  
Keyword(s):  

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Kambiz Sheikhy ◽  
Azizollah Abbasi Dezfouli ◽  
Farahnaz Sadegh Beigee

A 20-year-old female was referred to our hospital due to deformity and bulging in anterior aspect of chest wall in sternal area. Chest X-ray and CT scan confirmed a large mass with destruction of sternum. Pathologic diagnosis after incisional biopsy was compatible with aneurysmal bone cyst. We resected sternum completely and reconstructed large anterior defect by a cryopreserved sternal allograft. In follow-up of patient there was no unstability of chest wall with good cosmetic result.


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