Intralesional extended curettage with fibular strut for the treatment of large peritrochanteric cyst: a case report and review of literature


  • Kishor B. Munde Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  • Adarsh Venugopal Department of Orthopaedics, Amrita Institute of Medical Sciences, Ernakulam, Kerala, India
  • Yash Jadhav Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India



Simple bone cyst, Benign bone tumor, Proximal femur cyst


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.



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