Technical Tip: Arthroscopic Assistance in Minimally Invasive Curettage and Bone Grafting of a Calcaneal Unicameral Bone Cyst

<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>

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Therapeutic effect of minimally invasive decompression combined with impaction bone grafting on osteonecrosis of the femoral head

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-012-1141-6 ◽

2012 ◽

Vol 23 (8) ◽

pp. 913-919 ◽

Cited By ~ 13

Author(s):

Hong-Jun Zhang ◽

You-Wen Liu ◽

Zhi-Qian Du ◽

Huili Guo ◽

Ke-Jie Fan ◽

...

Keyword(s):

Femoral Head ◽

Minimally Invasive ◽

Therapeutic Effect ◽

Bone Grafting ◽

Impaction Bone Grafting ◽

Minimally Invasive Decompression

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A new treatment of aneurysmal bone cyst by endoscopic curettage without bone grafting

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1053/jars.2001.25334 ◽

2001 ◽

Vol 17 (7) ◽

pp. 1-10 ◽

Cited By ~ 9

Author(s):

Takanobu Otsuka ◽

Masaaki Kobayashi ◽

Isato Sekiya ◽

Masato Yonezawa ◽

Fumiaki Kamiyama ◽

...

Keyword(s):

Aneurysmal Bone Cyst ◽

Bone Grafting ◽

Bone Cyst ◽

New Treatment ◽

Endoscopic Curettage

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Recurrence of a Unicameral Bone Cyst in the Femoral Diaphysis

Clinics in Orthopedic Surgery ◽

10.4055/cios.2016.8.4.484 ◽

2016 ◽

Vol 8 (4) ◽

pp. 484

Author(s):

Hyun Se Kim ◽

Kyung Sup Lim ◽

Sung Wook Seo ◽

Seung Pil Jang ◽

Jong Sup Shim

Keyword(s):

Bone Cyst ◽

Unicameral Bone Cyst ◽

Femoral Diaphysis

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Active Unicameral Bone Cysts in the Upper Limb are at Greater Risk of Fracture

Journal of Orthopaedic Surgery ◽

10.1177/230949900901700206 ◽

2009 ◽

Vol 17 (2) ◽

pp. 157-160 ◽

Cited By ~ 19

Author(s):

Inn Kuang Tey ◽

Arjandas Mahadev ◽

Kevin Boon Leong Lim ◽

Eng Hin Lee ◽

Saminathan Suresh Nathan

Keyword(s):

Growth Plate ◽

Lower Limb ◽

Pathological Fracture ◽

Bone Cyst ◽

Lower Limbs ◽

Unicameral Bone Cyst ◽

Pathological Fractures ◽

Risk Of Fracture ◽

History Of ◽

Index 2

Purpose. To elucidate the natural history of unicameral bone cyst (UBC) and risk factors for pathological fracture. Methods. 14 males and 8 females (mean age, 9 years) diagnosed with UBC were reviewed. Cyst location, symptoms, and whether there was any fracture or surgery were recorded. Cyst parameters were measured on radiographs, and included (1) the cyst index, (2) the ratio of the widest cyst diameter to the growth plate diameter, and (3) the adjusted distance of the cyst border from the growth plate. Results. There were 11 upper- and 11 lower-limb cysts. 13 patients had pathological fractures and 9 did not. 20 patients were treated conservatively with limb immobilisation; 2 underwent curettage and bone grafting (one resolved and one did not). Seven cysts resolved (5 had fractures and 2 did not). The risk of fracture was higher in the upper than lower limbs (100% vs 18%, p<0.001). Fractured cysts were larger than unfractured cysts (mean cyst index, 4.5 vs. 2.2, p=0.07). Active cysts were more likely to fracture. Conclusion. Conservative management had a 30% resolution rate. Surgery should be considered for large active cysts in the upper limbs in order to minimise the fracture risk.

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