Treatment of Unicameral Bone Cyst

Hou, Hsien-Yang; Wu, Karl; Wang, Chen-Ti; Chang, Shun-Min; Lin, Wei-Hsin; Yang, Rong‐Sen

doi:10.2106/jbjs.j.01123

Cited by 47 publications

(35 citation statements)

References 10 publications

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“…Decompression or drainage has been suggested, perforating the cyst wall or creating a communication with the medullary cavity [2,18,19].…”

Section: Treatmentmentioning

confidence: 99%

“…Autologous iliac graft does not seem to give better results than other methods. Associating drainage by perforated screw or pin is a useful supplement [18,19]. Pinning also provides mechanical protection [2,18].…”

Section: Treatmentmentioning

confidence: 99%

“…Associating drainage by perforated screw or pin is a useful supplement [18,19]. Pinning also provides mechanical protection [2,18]. Bone morphogenetic protein (BMP) is to be avoided, providing no benefit and being liable to cause complications such as inflammation, with a suspected carcinogenic effect [20].…”

Section: Treatmentmentioning

confidence: 99%

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Bone cysts: Unicameral and aneurysmal bone cyst

Mascard

Gomez‐Brouchet

Lambot

2015

Orthopaedics & Traumatology: Surgery & Research

233

280

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Simple and aneurysmal bone cysts are benign lytic bone lesions, usually encountered in children and adolescents. Simple bone cyst is a cystic, fluid-filled lesion, which may be unicameral (UBC) or partially separated. UBC can involve all bones, but usually the long bone metaphysis and otherwise primarily the proximal humerus and proximal femur. The classic aneurysmal bone cyst (ABC) is an expansive and hemorrhagic tumor, usually showing characteristic translocation. About 30% of ABCs are secondary, without translocation; they occur in reaction to another, usually benign, bone lesion. ABCs are metaphyseal, excentric, bulging, fluid-filled and multicameral, and may develop in all bones of the skeleton. On MRI, the fluid level is evocative. It is mandatory to distinguish ABC from UBC, as prognosis and treatment are different. UBCs resolve spontaneously between adolescence and adulthood; the main concern is the risk of pathologic fracture. Treatment in non-threatening forms consists in intracystic injection of methylprednisolone. When there is a risk of fracture, especially of the femoral neck, surgery with curettage, filling with bone substitute or graft and osteosynthesis may be required. ABCs are potentially more aggressive, with a risk of bone destruction. Diagnosis must systematically be confirmed by biopsy, identifying soft-tissue parts, as telangiectatic sarcoma can mimic ABC. Intra-lesional sclerotherapy with alcohol is an effective treatment. In spinal ABC and in aggressive lesions with a risk of fracture, surgical treatment should be preferred, possibly after preoperative embolization. The risk of malignant transformation is very low, except in case of radiation therapy.

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“…Decompression or drainage has been suggested, perforating the cyst wall or creating a communication with the medullary cavity [2,18,19].…”

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Bone cysts: Unicameral and aneurysmal bone cyst

Mascard

Gomez‐Brouchet

Lambot

2015

Orthopaedics & Traumatology: Surgery & Research

233

280

View full text Add to dashboard Cite

show abstract

“…Il ne paraît pas possible de conseiller l'un ou l'autre des moyens de comblement. L'embrochage a par ailleurs un effet de protection mécanique [2,18]. La greffe iliaque autologue ne paraît pas supérieure aux autres méthodes.…”

Section: Histoire Naturelleunclassified

“…Aucun traitement ne permet à coup sûr d'obtenir la guérison, hormis la résection large qui n'est bien entendu pas indiquée. Ces produits sont plutôt à retenir comme adjuvants au curetage.On a proposé de traiter les KOE par décompression ou drainage en perforant leur parois ou en les faisant communiquer avec la cavité médullaire[2,18,19]. Il paraît donc logique de proposer d'abord les techniques les moins agressives, éventuellement associées à une ostéosynthèse préventive.…”

unclassified

Kystes osseux : kyste osseux essentiel et kyste osseux anévrysmal

Mascard¹

2014

Conférences d'Enseignement 2014

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Interventions for treating simple bone cysts in the long bones of children

Zhao¹,

Ding²,

Huang³

et al. 2014

Cochrane Database of Systematic Reviews

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The available evidence is insufficient to determine the relative effects of bone marrow versus steroid injections, although the bone marrow injections are more invasive. Noteably, the rate of radiographically assessed healing of the bone cyst at two years was well under 50% for both interventions. Overall, there is a lack of evidence to determine the best method for treating simple bone cysts in the long bones of children. Further RCTs of sufficient size and quality are needed to guide clinical practice.

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Treatment of Unicameral Bone Cyst

Abstract: This new minimally invasive method achieved a favorable outcome, with a higher radiographically determined healing rate and a shorter time to union. Thus, it can be considered an option for initial treatment of unicameral bone cysts.

Cited by 47 publications

References 10 publications

Bone cysts: Unicameral and aneurysmal bone cyst

Bone cysts: Unicameral and aneurysmal bone cyst

Kystes osseux : kyste osseux essentiel et kyste osseux anévrysmal

Interventions for treating simple bone cysts in the long bones of children

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