Abstract:Aneurysmal bone cysts are expansile osteolytic bone lesions that can manifest clinically as lameness, pain and swelling. In humans, aneurysmal bone cysts are considered benign tumours that have been classified as primary or secondary to a previous coexisting lesion. Local recurrence after treatment or malignant transformation has been reported in both humans and in a dog. Different treatment options have been proposed. This report describes the treatment of an 11-month-old Irish wolfhound with an aneurysmal bo… Show more
“…In the present case, a large ABC occupying the 62% of the radius, the weight bearing bone of the antebrachium, was successfully treated by corticotomy and grafting. Reported therapies include grafting of the cystic cavity, sclerotherapy (Adamsbaum et al 2003;Anson et al 2020;Lambot-Juhan et al 2012;Rastogi et al 2006), cementoplasty and radiation therapy (Vignoli et al, 2015), and ostectomy of the affected bone segment (Barnhart 2002). However, sclerotherapy may take months to be effective and multiple injections of the sclerosing agent may be needed (Adamsbaum et al 2003;Brosjö et al 2013).…”
Section: Discussionmentioning
confidence: 99%
“… 2012 ; Rastogi et al. 2006 ), cementoplasty and radiation therapy (Vignoli et al., 2015 ), and ostectomy of the affected bone segment (Barnhart 2002 ). However, sclerotherapy may take months to be effective and multiple injections of the sclerosing agent may be needed (Adamsbaum et al.…”
Background
An aneurysmal bone cyst (ABC) is a rare benign lytic lesion affecting the medullary canal of long bones. It has been widely reported in human medicine, but rarely described in domestic animals.
Objective
To report the surgical treatment and long term follow‐up of a dog affected by ABC.
Methods
An 8‐month‐old, intact female Weimaraner was presented with lameness affecting the left front limb and progressive swelling of the mid‐distal radius. Survey radiographs revealed a mid‐distal diaphyseal radial lesion. Fine needle aspirates, biopsy, CT scan and histopathology results supported the diagnosis of ABC. Treatment consisted of partial corticotomy of the affected radius, filling of the cystic cavity with demineralised bone matrix and autologous bone graft and stabilisation using lag screws and a neutralisation plate.
Results
The long‐term follow‐up, at 36 post‐operative months, showed no recurrence of the cyst and bone modelling. Comparing preoperative radiographs with those at 36 months, bone modelling reduced the radial area by 23.3% in the craniocaudal radiographic view and 30% in the mediolateral projection.
Conclusions
This treatment was sucessful in the case here described, with a 3 years follow‐up.
“…In the present case, a large ABC occupying the 62% of the radius, the weight bearing bone of the antebrachium, was successfully treated by corticotomy and grafting. Reported therapies include grafting of the cystic cavity, sclerotherapy (Adamsbaum et al 2003;Anson et al 2020;Lambot-Juhan et al 2012;Rastogi et al 2006), cementoplasty and radiation therapy (Vignoli et al, 2015), and ostectomy of the affected bone segment (Barnhart 2002). However, sclerotherapy may take months to be effective and multiple injections of the sclerosing agent may be needed (Adamsbaum et al 2003;Brosjö et al 2013).…”
Section: Discussionmentioning
confidence: 99%
“… 2012 ; Rastogi et al. 2006 ), cementoplasty and radiation therapy (Vignoli et al., 2015 ), and ostectomy of the affected bone segment (Barnhart 2002 ). However, sclerotherapy may take months to be effective and multiple injections of the sclerosing agent may be needed (Adamsbaum et al.…”
Background
An aneurysmal bone cyst (ABC) is a rare benign lytic lesion affecting the medullary canal of long bones. It has been widely reported in human medicine, but rarely described in domestic animals.
Objective
To report the surgical treatment and long term follow‐up of a dog affected by ABC.
Methods
An 8‐month‐old, intact female Weimaraner was presented with lameness affecting the left front limb and progressive swelling of the mid‐distal radius. Survey radiographs revealed a mid‐distal diaphyseal radial lesion. Fine needle aspirates, biopsy, CT scan and histopathology results supported the diagnosis of ABC. Treatment consisted of partial corticotomy of the affected radius, filling of the cystic cavity with demineralised bone matrix and autologous bone graft and stabilisation using lag screws and a neutralisation plate.
Results
The long‐term follow‐up, at 36 post‐operative months, showed no recurrence of the cyst and bone modelling. Comparing preoperative radiographs with those at 36 months, bone modelling reduced the radial area by 23.3% in the craniocaudal radiographic view and 30% in the mediolateral projection.
Conclusions
This treatment was sucessful in the case here described, with a 3 years follow‐up.
“…Bone cysts are benign expansile osteolytic lesions usually encountered in children and adolescents but are relatively uncommon in dogs 1 2. Bone cysts are classified as unicameral (simple) or aneurysmal.…”
A six-month-old, 27 kg, entire male labrador was presented with an acute onset of severe left thoracic limb lameness. CT of both thoracic limbs revealed a well-delineated region of lucency in the distal humerus consistent with a bone cyst. The cyst was drained, curetted and packed with autogenous cancellous bone graft combined with freeze-dried canine demineralised bone matrix. Temporary stabilisation was achieved with a hinged transarticular external skeletal fixator. Follow-up CT six weeks after surgery revealed the cyst to be largely filled in by amorphous mineralised tissue. Eight months following surgery, CT revealed normal appearance of the bone compared with the previous study. CT provided valuable information regarding origin, size and location of the lesion itself and allowed to accurately plan the surgery. The postoperative CT images provided an accurate indication of the bone healing describing the increased bone density and the complete healing of the bone cyst.
“…Histopathological examination shows fibrous and osseous septa lined by fibroblasts and multinucleate giant cells with blood-filled cystic areas. Local recurrence of ABCs https://doi.org/10.17221/19/2023-VETMED can be observed both in human and veterinary medicine (Duval et al 1995;Barnhard 2002;Dowdle et al 2003;Salierler et al 2004;Mankin et al 2005;Vignoli et al 2015;Barbanti-Brodano et al 2017). Bone cysts are rare in dogs, however, single, solitary one bone cysts resulting in deformation of the bone shape and radiolucency in the radiographic assessment were reported in the proximal or distal metaphyseal area of long bones in young dogs (5-15 months), more commonly in males than females.…”
Bone cysts are rare orthopaedic problems in dogs. There are no clear treatment guidelines. A young male Shih Tzu was referred to Small Animal Clinic with fifth-degree lameness (5/5) of the left thoracic limb, and with swelling and deformation of the distal humeral region. The radiological assessment revealed an enlargement of the distal brachium and an extensive hypodense osteolytic lesion in the distal metaphyseal region of the humerus. Diagnosis of the bone cyst was formulated and treated with a mini-invasive method using autologous non-concentrated bone marrow injections. The treatment was successful, and at the three weeks, the cyst significantly changed its structure. The follow-up at 12 weeks after the first injection, and at one year revealed complete recovery. To our knowledge, this is the first evidence of a bone cyst in a young dog successfully treated with a minimally-invasive method by using a non-concentrated autologous bone marrow injection.
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