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

Author(s):  
Palanisami R. S. ◽  
Srinivasan Rajappa ◽  
Raghavendran .

<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>

1984 ◽  
Vol 59 (9) ◽  
pp. 633-636 ◽  
Author(s):  
WILLIAM D. ZIMMER ◽  
TOM H. BERQUIST ◽  
FRANKLIN H. SIM ◽  
LESTER E. WOLD ◽  
DOUGLAS J. PRITCHARD ◽  
...  

1993 ◽  
Vol 83 (10) ◽  
pp. 595-597 ◽  
Author(s):  
RG Schmidt ◽  
YM Kabbani ◽  
DP Mayer

Key findings that aid in the diagnosis of an aneurysmal bone cyst are: 1) typically the patients are young individuals less than 20 years old; 2) an expansile bone lesion is bordered by a thin, low signal intensity rim mass; 3) the lesion is inhomogenously increased in signal on T2-weighted images; and 4) multiple fluid-fluid levels are seen with the mass on T2-weighted magnetic resonance imaging scans.


1997 ◽  
Vol 87 (3) ◽  
pp. 136-140 ◽  
Author(s):  
LR Goss ◽  
JH Walter

A rare, large pediatric aneurysmal bone cyst with pathologic fracture of the distal tibia of a 4-year-old female was presented. Classic radiographic and magnetic resonance imaging findings have been discussed. In a comprehensive review of the literature, aneurysmal bone cysts are an infrequently reported neoplasm of the foot and ankle bones. Lesions are characteristically seen in patients younger than 20 years of age, but rarely younger than 5 years. The benign cyst has a 2:1 female-to male predilection. In long bones, the lesion is typically metaphyseal in nature. Although the pathogenesis is still unknown, there exists the possibility of two types of aneurysmal bone cysts: a primary type without preexisting lesion and a secondary form associated with some other lesion. The diagnosis of aneurysmal bone cyst can be strongly suspected by correlating the radiographic and magnetic resonance imaging findings. For definitive diagnosis, accurate histologic evaluation is imperative to rule out any confusion or possibility with a malignant tumor.


2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094791
Author(s):  
Jincai Zeng ◽  
Ming Zhou ◽  
Lihua Xu ◽  
Lifan Zhu ◽  
Zhanjun Yan ◽  
...  

A 27-year-old man presented with intermittent right knee pain for 1 year with no previous trauma. Physical examination revealed only tenderness over the patella. Typical fluid–fluid levels were visible on magnetic resonance imaging (MRI), which highly suggested aneurysmal bone cyst (ABC) of the patella. After removal of a large window of thin cortical bone, curettage and bone grafting followed by cerclage wiring was performed. Histology confirmed the initial diagnosis of primary ABC of the patella. At the final follow-up visit at 71 months after surgery, the patient had normal joint activity with no pain or evidence of recurrence. Previous publications indicated patellectomy in the initial series, but curettage and bone grafting have more recently provided excellent results and good graft incorporation in most cases, even for aggressive lesions. In our patient, thorough curettage and bone grafting through a wide cortical window followed by cerclage wiring fixation and figure-eight sutures was a successful treatment option for primary ABC of the patella without articular disruption.


Neurosurgery ◽  
1989 ◽  
Vol 24 (2) ◽  
pp. 273-276 ◽  
Author(s):  
George R. Cybulski ◽  
John Anson ◽  
Thomas Gleason ◽  
M. F. Homsi ◽  
Marc G. Reyes

Abstract Preoperative radiological evaluation with magnetic resonance imaging and computed tomography was valuable in planning the surgical management of a destructive lesion of the posterior elements of the thoracic spine that was causing spinal cord compression in an 18-year-old woman. Preoperative recognition of bilateral involvement of the pedicles in addition to the laminae and spinous process led to use of prophylactic segmental stabilization of the spine with Luque rods after successful excision of an aneurysmal bone cyst. This case provides an example of the usefulness of computed tomographic scanning and magnetic resonance imaging in assessing the distribution and location of vertebral tumor and its potential effect on spinal stability. The efficacy of combining radical excision with stabilization for treatment of aneurysmal bone cysts of the spine is emphasized.


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