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 ◽  

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.

Hand Surgery ◽  
2002 ◽  
Vol 07 (01) ◽  
pp. 147-150 ◽  
Author(s):  
J. A. Sproule ◽  
E. Salmo ◽  
G. Mortimer ◽  
M. O'Sullivan

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.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel Körner ◽  
Christoph E. Gonser ◽  
Stefan Döbele ◽  
Christian Konrads ◽  
Fabian Springer ◽  
...  

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.


2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Kohei Yamaura ◽  
Yutaka Mifune ◽  
Atsuyuki Inui ◽  
Hanako Nishimoto ◽  
Yasuhiro Ueda ◽  
...  

Olecranon apophyseal nonunion is an elbow injury from overuse that affects adolescent athletes such as baseball pitchers who participate in overhead throwing sports. However, such injury is rare in collision sports. Here, we report two patients with this condition who are Judo athletes. The purpose of this report was to describe three elbows with olecranon apophyseal nonunion in two adolescent patients participating in Judo. This is a case series; the level of evidence is 4. Two 15-year-old patients were evaluated. One suffered from unilateral and the other from bilateral chronic posterior elbow pain. They were diagnosed with olecranon apophyseal nonunion, which was treated using internal fixation and bone grafting. Radiographic evidence of the apophyseal union was observed four months postsurgery. Two elbows were treated with tension band wiring, then they underwent hardware removal six months postsurgery. Both patients returned to their previous levels of activities six months postsurgery. Internal fixation using autologous bone grafting was a useful treatment for these Judo athletes with olecranon apophyseal nonunion.


2017 ◽  
Vol 52 (5) ◽  
pp. 555-560
Author(s):  
Marcus Ceregatti Passarelli ◽  
José Roberto Tonelli Filho ◽  
Felipe Augusto Mendes Brizzi ◽  
Gustavo Constantino de Campos ◽  
Alessandro Rozim Zorzi ◽  
...  

2017 ◽  
Vol 23 ◽  
pp. 114 ◽  
Author(s):  
M. Sawa ◽  
T. Nakasa ◽  
M. Yoshikawa ◽  
Y. Tsuyuguchi ◽  
N. Adachi

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