Hand’s aneurysmal bone cyst: A rare localization. Case report and systematic literature review

Abstract

Aneurysmal bone cysts are benign, rare bony tumours frequently observed among children and young adults principally located in the long bones, pelvis, and spine and rarely in other anatomical district such as the hand. We report the case of a 12-year-old girl with an aneurysmal bone cyst, in active stage, involving the still-open epiphysis of the fourth metacarpal of the right hand, which was in a first time treated by curettage, and 3 months later, occurring a recurrence, by a radically excision of the bone and reconstruction with a graft from the iliac crest. At 10-year follow-up the patient had good cosmetic results and a functioning hand. We also performed a systematic Literature review in order to retrieve the key information regarding: the diagnosis, the clinical features and the treatment.

Reconstruction of the Fourth Metacarpal Using a Chimeric Medial Femoral Condyle Vascularized Osteochondral Cutaneous Graft

“…1,3 A systematic review showed that more aggressive approaches with tumor resection and reconstruction with an autologous bone graft bring the best outcomes. 3 En bloc resection with reconstruction of the bone deficit is a more aggressive therapeutic option but has been shown to be associated with the lowest recurrence rate. 1,2 The morbidity associated with this more ambitious procedure raises concern, 2 and this procedure is usually reserved for patients with lesions that disrupt bone in periarticular regions 1,4 or with recurrent lesions resistant to other treatments.…”

“…1,3 There are several treatment modalities available to treat aneurysmal bone cysts, [1][2][3][4] but no generally accepted consensus on the best regimen. 1,3 A systematic review showed that more aggressive approaches with tumor resection and reconstruction with an autologous bone graft bring the best outcomes. 3 En bloc resection with reconstruction of the bone deficit is a more aggressive therapeutic option but has been shown to be associated with the lowest recurrence rate.…”

“…Aneurysmal bone cysts are rapidly expanding, osteolytic bone tumors that are not thought to have malignant potential [1][2][3][4] and are infrequently found in the hand. 1,3 There are several treatment modalities available to treat aneurysmal bone cysts, [1][2][3][4] but no generally accepted consensus on the best regimen.…”

“…Aneurysmal bone cysts are rapidly expanding, osteolytic bone tumors that are not thought to have malignant potential [1][2][3][4] and are infrequently found in the hand. 1,3 There are several treatment modalities available to treat aneurysmal bone cysts, [1][2][3][4] but no generally accepted consensus on the best regimen. 1,3 A systematic review showed that more aggressive approaches with tumor resection and reconstruction with an autologous bone graft bring the best outcomes.…”