Curettage and bone grafting for simple bone cyst of humeral head in a young woman: arthroscopic approach and step towards minimal invasive surgery


  • Nirav G. Soni Department of Orthopaedic, Vaishvi Orthopaedic Hospital, Jetalpur Road, Vadodara, Gujarat
  • Jaimeen P. Jesalpura Department of Orthopaedic, Vaishvi Orthopaedic Hospital, Jetalpur Road, Vadodara, Gujarat



Traumatic simple bone cyst humerus, Arthroscopic excision, Bone grafting


The simple bone cyst (SBC) also called unicameral bone cyst is a tumor-like lesion of unknown cause, attributed to a local disturbance of the bone growth. Although the pathogenesis is still unknown, the lesion appears to be reactive or developmental . Traumatic etiology of simple bone cysts remains an enigma up to now. We present a case of 44 year old woman who came with c/o pain in right shoulder due to fall from vehicle 5 months back with X-ray and MRI both suggestive of cystic lesion over greater tuberosity humeral head . Patient was treated with arthroscopic curettage and bone grafting. In the last decade, however, there has been an exponential growth in the use of minimally invasive surgical techniques. This is particularly seen in the shoulder, where multiple arthroscopic and procedures have been described in the treatment of intra- and extra-articular pathologies.

Author Biography

Nirav G. Soni, Department of Orthopaedic, Vaishvi Orthopaedic Hospital, Jetalpur Road, Vadodara, Gujarat



Unicameral bone cysts. Natural history and the risk of fracture. Int Orthop. 1989;13:275-82.

Killian JT, Wilkinson L, White S, Brassard M. Treatment of unicameral bone cyst with demineralized bone matrix. J Pediatr Orthop. 1998;18:621-4.

Levy DM, Moen TC, Ahmad CS. Bone grafting of humeral head cystic defects during rotator cuff repair. Am J Orthop (Belle Mead NJ). 2012;41:92-4.

Mik G, Arkader A, Manteghi A, Dormans JP. Results of a minimally invasive technique for treatment of unicameral bone cysts. Clin Orthop Relat Res. 2009;467:2949-54.

Neer CS, Francis KC, Marcove RC, Terz J, Carbonara PN. Treatment of unicameral bone cyst. A follow-up study of one hundred seventy-five cases. J Bone Joint Surg Am. 1966;48:731-45.

Rougraff BT, Kling TJ. Treatment of active unicameral bone cysts with percutaneous injection of demineralized bone matrix and autogenous bone marrow. J Bone Joint Surg Am. 2002;84-A:921-9.

Scaglietti O. Sull’ azione osteogenetica dell’ acetato di prednisolone. Boll Mem Soc Tosco Umbra Chir. 1974;35:7.

Tsuchiya H, Abdel-Wanis ME, Uehara K, Tomita K, Takagi Y, Yasutake H. Cannulation of simple bone cysts. J Bone Joint Surg Br. 2002;84:245-8.

Wright JG, Yandow S, Donaldson S, Marley L. A randomized clinical trial comparing intralesional bone marrow and steroid injections for simple bone cysts. J Bone Joint Surg Am. 2008;90:722-30.