Aneurysmal Bone Cyst: A Case Report Demonstrating the Role of Curettage, Bone Grafting and Prophylactic Screw Fixation
Keywords:
Aneurysmal bone cyst, prophylactic fixation, bone graft
Abstract
Aneurysmal bone cyst (ABC) is a rare osteolytic bone tumour characterized by several sponge-likeblood or serum filled, non-endothelialized spaces of various diameters. When it is located in the proximal femur it is associated with increased risk of pathological fracture. Different treatment modalities have been reported for the management of aneurysmal bone cysts, including surgical excision with or without adjuvants, intralesional injection of sclerosing agents, radiation therapy, cryotherapy, systemic calcitonin therapy, and selective arterial embolization. We present a young man with a proximal femoral ABC who was treated successfully with curettage, cancellous bone grafting and prophylactic cancellous screw fixation.
References
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2. MontaltiM,Alberghini M, Ruggieri M. Secondary aneurysmal bone cyst in fibrous dysplasia of the proximal femur. Verwandte ZitateOrthopedics 2009; 32(5); 363
3. Jaffe HL, Lichtenstein L. Solitary Unicameral bone cysts with emphasis on the roentgen picture, the pathologic appearance and the pathogenesis.Arch Surg.1942;44:1004-1025.
4. Levy WM, Miller AS, Bonakdarpour A, Aegerter E. Aneurysmal bone cyst secondary to other osseous lesions: Report of 57 cases. Am J ClinPathol. 1975 Jan; 63(1):1-8.
5. Hudson TM. Fluid levels in aneurismal bone cysts: A CT feature.AJR.1984;141:1001-1004.
6. Scully SP, Temple HT, O’Keefe RJ,Gebhardt MC. Case report 830: Aneurysmal bone cyst.SkeletalRadiol.1994;23:157-160.
7. Capanna R, Bettelli G, Biagini R, et al. Aneurysmal cysts of long bones. Ital J OrthopTraumatol. 1985; 11(4):409-17.
8. DabskaM, Buraczewski J. Aneurysmal bone cysts: Pathology, clinical course and radiological appearance. Cancer.1969;23:371-388.
9. Munk PL, Helms CA , Holt RG, Steinbach L, Neumann C. MR imaging of aneurismal bone cysts. AJR. 1989;153:99-101.
10. Hudson TM. Scintigraphy of aneurismal bone cyst.AJR.1984;142:781-765.
11. Papagelopoulos PJ, Choudhury SN, Frassica FJ, Bond JR, Unni KK, Sim FH. Treatment of aneurysmal bone cysts of the pelvis and sacrum. J Bone Joint Surg Am. 2001 Nov; 83-A (11):1674- 81.
12. Botez P. Modern surgical treatment of aneurysmal bone cyst using a synthetic bone. Rev Med ChirSoc Med Nat Iasi. 2003 Oct-Dec; 107(4):913-20.
13. Canale ST. Aneurysmal bone cyst within benign tumours of bone. In: Campbell’s Operative orthopaedics, Vol1.11thed.St. Louis, MO: Mosby. 2008. 868.
14. Bollough PG, Vigorita VJ. Aneurysmal bone cyst within benign non-matrix –producing bonetumours.Orthopaedics Pathology.3rded.Baltimore MD, MosbyWolfe.1997:402-424.
15. Jaafe KA, Dunham WK. Treatment of benign lesions of femoral head and neck. Clin.Orthop.1990;257:134-137
