Intralesional extended curettage with fibular strut for the treatment of large peritrochanteric cyst: a case report and review of literature
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20232010Keywords:
Simple bone cyst, Benign bone tumor, Proximal femur cystAbstract
Simple bone cysts are benign bone lesions commonly found in children and adolescents. They are usually asymptomatic and are incidentally detected on imaging studies. However, in rare cases, simple bone cysts can grow to a large size and cause symptoms such as pain and functional limitations. We present a case report of a large peritrochanteric simple bone cyst in an adolescent male who presented with hip pain and difficulty in walking. The diagnosis was confirmed by radiographic findings and histopathological examination of the cyst. The patient was managed with curettage and auto allo bone grafting with fibular strut and supplementary plate fixation. Patient had a favourable outcome with complete resolution of symptoms at 18-month follow-up. Our case report highlights the need of fixation for large simple bone cyst in proximal femur region along with curettage and bone grafting.
References
Mascard E, Gomez-Brouchet A, Lambot K. Bone cysts: Unicameral and aneurysmal bone cyst. Orthopaed Traumatol Surg Res. 2015;101(1):S119-27.
Kaelin AJ, MacEwen GD. Unicameral bone cysts: Natural history and the risk of fracture. Int Orthopaed. 1989;13(4):275-82.
Baghdadi S, Arkader A. Unicameral Bone Cysts: Treatment Rationale and Approach: Current Concept Review. J Pediatric Orthopaed Soc Noth Am. 2021;3(2).
Rosenblatt J, Koder A. Understanding Unicameral and Aneurysmal Bone Cysts. Pediatrics In Rev. 2019;40(2):51-9.
Noordin S, Allana S, Umer M, Jamil M, Hilal K, Uddin N. Unicameral bone cysts: Current concepts. Ann Med Surg. 2018;34:43-9.
Zhao JG, Wang J, Huang WJ, Zhang P, Ding N, Shang J. Interventions for treating simple bone cysts in the long bones of children. Cochrane Bone, Joint and Muscle Trauma Group, editor. Cochrane Database of Systematic Reviews. 2017;2(2):CD010847.
Jaffe HL. Solitary unicameral bone cyst: with emphasis on the roentgen picture, the pathologic appearance and the pathogenesis. Arch Surg. 1942;44(6):1004.
Miu A. Etiological aspects of solitary bone cysts: comments regarding the presence of the disease in two brothers. Is the genetic theory sustainable or is it pure coincidence? – Case report. J Med Life. 2015;8(4):509-12.
Chigira M, Maehara S, Arita S, Udagawa E. The aetiology and treatment of simple bone cysts. J Bone Joint Surg Br. 1983;65(5):633-7.
Pretell-Mazzini J, Murphy RF, Kushare I, Dormans JP. Unicameral Bone Cysts: General Characteristics and Management Controversies. J Am Acad Orthop Surg. 2014;22(5):295-303.
Erol B, Topkar MO, Aydemir AN, Okay E, Caliskan E, Sofulu O. A treatment strategy for proximal femoral benign bone lesions in children and recommended surgical procedures: retrospective analysis of 62 patients. Arch Orthop Trauma Surg. 2016;136(8):1051-61.
Canavese F, Wright JG, Cole WG, Hopyan S. Comparison of Percutaneous Curettage, Steroid, and Autologous Bone Marrow Injections. J Pediatr Orthop. 2011;31(1).
Kadhim M, Thacker M, Kadhim A, Holmes L. Treatment of unicameral bone cyst: Systematic review and meta analysis. J Children’s Orthop. 2014;8(2):171-91.
Roposch A, Saraph V, Linhart WolfgangE. Treatment of femoral neck and trochanteric simple bone cysts. Arch Orthop Trauma Surg. 2004;124(7).
Rajasekaran RB, Krishnamoorthy V, Gulia A. Unicameral Bone Cysts: Review of Etiopathogenesis and Current Concepts in Diagnosis and Management. JOIO. 2022;56(5):741-51.
Jamshidi K, Mirkazemi M, Izanloo A, Mirzaei A. Locking plate and fibular strut-graft augmentation in the reconstruction of unicameral bone cyst of proximal femur in the paediatric population. Int Orthop (SICOT). 2018;42(1):169-74.
George B, Abudu A, Grimer RJ, Carter SR, Tillman RM. The treatment of benign lesions of the proximal femur with non-vascularised autologous fibular strut grafts. J Bone Joint Surg. 2008;90(5).
