Published: 2020-04-22

Aneurysmal bone cyst in proximal phalanx treated without bone grafting

Palanisami R. S., Srinivasan Rajappa, Raghavendran .


Aneurysmal bone cyst involving the hand are a rare occurrence especially in the proximal phalanx. We report a case of 5 years old female child with proximal phalanx aneurysmal bone cyst treated without bone grafting. Magnetic resonance imaging may show fluid filled spaces but definite diagnosis can only be obtained histologically. It is a benign lesion still it can involve growth plate hence intervention is necessary. The treatment includes curettage with or without bone grafting.


Aneurysmal bone cyst, Proximal phalanx, Bone grafting

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Jaffe HL. Solitary unicameral bone cyst. Arch Surg. 1942;44(6):1004-25.

Ozyurek S, Rodop O, Kose O, Cilli F, Mahirogullari M. Aneurysmal Bone Cyst of the Fifth Metacarpal. Orthopedics. 2009;32:606-9.

Kotwal PP, Jayaswal A, Singh MK, Dave PK. Aneurysmal bone cyst in the metacarpal of a child: a case report. J Hand Surg Br. 1988;13:479-80.

Song KS, Lee SW, Bae KC, Sohn ES. Aneurysmal bone cyst involving the metacarpal bone in a child. Am J. Orthop. 2015;44:68-70.

Ropars M, Kaila R, Briggs T, Cannon S. Kystes anévrismaux des phalanges et des métacarpiens. À propos de six cas et revue de la littérature. Chirurgie de la Main. 2007;26:214-7.

Borrelli J, McCormack RR. Aneurysmal bone cyst involving the long finger metacarpal in a child: a case report. YJHSU. 1994;19:800-2.

Diaz VA, Vernon SE, Ouellette EA. Pain and deformity of the index finger in a 41-year-old woman. Clin Orthop Relat Res. 2009;467(5):1387-91.

Weiner SD. Enchondroma and chondrosarcoma of bone: clinical, radiologic, and histologic differentiation. Instr Course Lect. 2004;53:645-9.

Oda Y, Tsuneyoshi M, Shinohara N. ‘‘Solid’’ variant of aneurysmal bone cyst (extragnathic giant cell reparative granuloma) in the axial skeleton and long bones: a study of its morphologic spectrum and distinction from allied giant cell lesions. Cancer. 1992;70:2642-9.

Ratner V, Dorfman HD. Giant-cell reparative granuloma of the hand and foot bones. Clin Orthop Relat Res. 1990;260:251-8.

Cheng JC, Johnston JO. Giant cell tumor of bone: prognosis and treatment of pulmonary metastases. Clin Orthop Relat Res. 1997;338:205-14.

Adler CP. Multifocal osteoblastoma of the hand. Skeletal Radiol. 2000;29:601-4.

Mirra JM, Picci P, Gold RH. Bone Tumors: Clinical, Radiologic, Pathologic Correlations. Philadelphia PA: Lea & Febiger; 1989.