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

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.

Sarcoma ◽  
2003 ◽  
Vol 7 (3-4) ◽  
pp. 177-182 ◽  
Author(s):  
Matthias Honl ◽  
Florian Westphal ◽  
Volker Carrero ◽  
Michael Morlock ◽  
Karsten Schwieger ◽  
...  

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.


Author(s):  
Bhaskar Borgohain ◽  
Kashif A. Ahmed ◽  
Tashi G. Khonglah

<p>Aneurysmal bone cysts account for only 1% of all bone tumours and of these only a handful of reported cases occur in the foot. They can mimic other bone tumours on imaging studies, thus making histological diagnosis mandatory. Aneurysmal bone cyst of a metatarsal is very rare especially in children and only few cases have been reported in the literature. We report the novel management option for a rare case of an Aneurysmal bone cyst localized to the second metatarsal in a 5 years old boy who presented with limping, local pain, and minimal swelling in his left foot. Tissue diagnosis was confirmed on the basis of needle biopsy. Surgery was in the form of extended curettage using an endoscope with a high-speed burr and cautery. The remnant cavity was filled up with artificial bone graft. Histopathology analysis of the resected tissue was consistent with Aneurysmal bone cyst. There was complete healing at final follow-up at 2 years. Endoscopy assisted extended curettage appears to be an ideal treatment option as it provides a perfect visualisation of the interior of the entire cyst and use of cautery and burr more accurately under direct vision which potentially leaves only a minimal scope for recurrence. Use of artificial bone grafts instead of conventional autogenous bone grafts to reduce graft site morbidity in children and stimulate local foreign body reaction for enhancing residual tumour cell kill if any and also to promote bony sclerosis for healing.</p>


1995 ◽  
Vol 08 (04) ◽  
pp. 213-217 ◽  
Author(s):  
J. N. Chambers ◽  
S. M. Newell ◽  
J. M. Duval

Aneurysmal bone cysts are benign but locally aggressive lytic lesions of bone. Surgical curettage and cancellous bone grafting resulted in complete clinical and partial radiographic resolution of an aneurysmal bone cyst of the distal tibia.


2014 ◽  
Vol 2014 (feb21 1) ◽  
pp. bcr2013201709-bcr2013201709 ◽  
Author(s):  
V. Sampath Kumar ◽  
D. Jalan ◽  
S. A. Khan ◽  
A. R. Mridha

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