scholarly journals Proximal femur pathological fracture secondary to aneurysmal bone cyst in a child

2019 ◽  
Vol 5 (3) ◽  
pp. 55-57
Author(s):  
Dr. Rajesh Sajjanshetty ◽  
Dr. Jozy Timothy
Keyword(s):  
Proximal Femur ◽  
Aneurysmal Bone Cyst ◽  
Pathological Fracture ◽  
Bone Cyst

Pathological fracture of proximal femur secondary to an aneurysmal bone cyst in a child

2016 ◽  
Vol 3 (2) ◽  
pp. 115-118
Author(s):  
Shridhar D K ◽  
◽  
Ravishankar J ◽  
Rajesh Sajjan Shetty ◽  
Vijay Tubaki
Keyword(s):  
Proximal Femur ◽  
Aneurysmal Bone Cyst ◽  
Pathological Fracture ◽  
Bone Cyst

scholarly journals All-endoscopic management of benign bone lesions; a case series of 26 cases with minimum of 2 years follow-up

SICOT-J ◽  
2018 ◽  
Vol 4 ◽  
pp. 50 ◽  
Author(s):  
Hazem A. Farouk ◽  
Mostafa Saladin ◽  
Wessam Abu Senna ◽  
Walid Ebeid
Keyword(s):  
Proximal Femur ◽  
Aneurysmal Bone Cyst ◽  
Proximal Tibia ◽  
Bone Cyst ◽  
Oncologic Outcome ◽  
Functional Scores ◽  
Bony Lesions ◽  
Anatomic Locations ◽  
Endoscopic Curettage

Purpose: Assessment of the functional and oncologic outcomes regarding endoscopic curettage of different benign bone tumor types within variable anatomic locations. Patients and methods: During the period between February 2012 and December 2016, 26 patients with symptomatic intra-osseous benign bony lesions were included. The age ranged from 3 up to 49 years (mean 20), of 14 females and 12 males. The follow-up duration ranged from 26 up to 58 months (mean 41). Functional scoring was done according to the Revised Musculoskeletal Tumour Society Rating Scale. Anatomic locations of the lesions included: 6 cases in the proximal tibia, 6 cases in the distal femur, 4 cases in the calcaneus, 3 cases in the proximal humerus, 3 cases in the distal tibia, 2 cases in the talus, 1 case in the proximal femur, and 1 case in the distal fibula. The procedure used 4 mm 30° scope for endoscopy, and high speed burrs 3.5–5 mm for extended curettage. Autogenous bone grafting was done in 5 cases, and adjuvant material (polymethylmethacrylate) was needed in 7 cases. Results: After exclusion of one case that was lost in the follow-up, the remaining 25 cases showed full functional recovery at a period of 8–12 weeks, and improved mean functional scores from 20.2 to 28.6/30 post-operatively, with p value <0.001 which was considered as a statistically significant result. The oncologic outcome showed 24 cases with adequate healing, while 1 case developed recurrence (aneurysmal bone cyst in the proximal tibia) for which, an open revision surgery was performed. Intra-operative fracture occurred in another case with aneurysmal bone cyst of the proximal femur, which was fixed by flexible nails with complete healing. Conclusion: Endoscopic curettage of different types of intra-osseous benign bony lesions proved to be an effective treatment modality with promising oncologic outcome, improved functional scores, and fast functional recovery.

scholarly journals Aneurysmal bone cyst in the proximal femur: Combined approach of management: a case report

2021 ◽  
Vol 7 (3) ◽  
pp. 303-306
Author(s):  
Dr. Gaurav C Mendon ◽  
Dr. Shetty Suraj Ravindra ◽  
Dr. Rishab Jain ◽  
Dr. I Vishanth Rai
Keyword(s):  
Case Report ◽  
Proximal Femur ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Combined Approach

scholarly journals Challenges in the Diagnosis and Treatment of Aneurysmal Bone Cyst in Patients with Unusual Features

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Ziyad M. Mohaidat ◽  
Salah R. Al-gharaibeh ◽  
Osama N. Aljararhih ◽  
Murad T. Nusairat ◽  
Ali A. Al-omari
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Pathological Fracture ◽  
Plate Osteosynthesis ◽  
Frozen Section ◽  
Bone Cyst ◽  
Recurrence Risk ◽  
Late Recurrence ◽  
Diagnosis And Treatment ◽  
Wide Resection ◽  
Proximal Fibula

Objectives. Aneurysmal bone cyst (ABC) is a benign but locally aggressive tumor. It has several challenging features. The aim of this study is to identify challenges in the diagnosis and treatment of ABC especially in patients with unusual features. Methods. This retrospective study involved medical record review of primary ABC patients with one or more of the following features: unusual clinical presentation with a mass or a pathological fracture especially at an unusual age, rare locations, radiological findings suggesting other diagnoses especially sarcoma, and a nondiagnostic histopathology of biopsy samples. Results. 25 patients (17 males and 8 females) were included. Most patients were either younger than 10 or older than 20 years. 10 patients presented with a mass or a pathological fracture. Unusual locations include the scapula, the olecranon, the hamate, the calcaneus, and the first metatarsal bone. Extension into the epiphysis occurred in 2 patients with proximal fibula and olecranon ABCs. Two separate synchronous cysts existed in the proximal epiphysis and middiaphysis of one humerus. Radiological imaging suggested other primary diagnoses in 8 patients. Core needle biopsy was diagnostic in only 2 of 7 patients. The main treatment was intralesional resection/curettage with bone grafting. Wide resection was performed in 4 patients. Recurrence rate was 28%. Recurrence risk factors included the following: age less than 10 years, male gender, and proximal femur location. Late recurrence occurred in 3/7 patients. One patient with asymptomatic radiological recurrence showed subsequent spontaneous resolution one year later. Conclusions. This study presented multiple unusual features of ABC including: unusual age, rare locations, and nondiagnostic radiological and histopathological findings. These features can complicate the diagnosis and management. Given these features, especially with pathological fractures, a well-planned incision, the use of frozen section examination, and the application of either external fixation or plate osteosynthesis for fracture fixation can be recommended.

Pathological fracture in non-ossifying fibroma with histological features simulating aneurysmal bone cyst

1999 ◽  
Vol 9 (4) ◽  
pp. 669-671 ◽  
Author(s):  
C. Hoeffel ◽  
M. Panuel ◽  
F. Plenat ◽  
L. Mainard ◽  
J.-C. Hoeffel
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Pathological Fracture ◽  
Bone Cyst ◽  
Ossifying Fibroma ◽  
Histological Features

scholarly journals External Fixator as a Saviour in the Management of Aneurysmal Bone Cyst with Physeal Extension in Pathological Fracture of the Proximal Femur: A Case Report with a Review of Literature

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Sudhir S Kushwaha ◽  
Atil Kumar Lal ◽  
Nitish Kumar ◽  
Ajay Bharti
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
External Fixation ◽  
External Fixator ◽  
Proximal Femur ◽  
Aneurysmal Bone Cyst ◽  
External Rotation ◽  
Benign Lesion ◽  
Bone Cyst ◽  
Trochanteric Fracture

Introduction: Aneurysmal bone cysts (ABC’s) are expansile, tumour-like vascular lesion. They are more commonly seen in the metaphyseal region of long bones. They are benign lesion although malignant transformation has been reported. Usually presents in the first three decades of life. Common presentation is pain, swelling, or fracture. Proximal femur with ABC’s is a rare entity and with physeal extension is even sparse. Case Report: A 13- year-. old female presented in the orthopaedic emergency with complaints of pain in the right hip region following a trivial fall. Following trauma, the patient was unable to stand or walk. On examination, there was tenderness in Scarpa’s triangle, straight leg raise test was not possible and limb was in external rotation. Plain radiography revealed an inter-trochanteric fracture with cystic lesion in the proximal femur extending till until epiphysis. MRI of the proximal femur showed an air fluid level with septations and soft- tissue oedema suggestive of aneurysmal bone cyst ABC’s. The patient was managed by intra-lesional curettage with fibular strut grafting along with cancellous bone graft and fixation by Uni-planar external fixator. Conclusion: Pathological Fractures fractures of proximal femur management is are a challenge for an orthopaedic surgeon due to its location and biomechanical factors. Treatment of proximal femur ABC’s should be case dependent. In our opinion, aneursymal bone cyst of the proximal femur with physeal extension can be managed by external fixation along with extensive curettage and bone graft. Keywords: Aneurysmal bone cyst, proximal femur, external fixation

scholarly journals Bilateral Primary Aneurysmal Bone Cyst of Proximal Femur: A Rare Case Report

2021 ◽  
pp. 217-223
Author(s):  
Sudhir Shyam Kushwaha ◽  
Kumar Shantanu ◽  
Garima Maurya ◽  
Abhishek Pandey
Keyword(s):  
Case Report ◽  
Proximal Femur ◽  
Rare Case ◽  
Pathological Fracture ◽  
English Literature ◽  
Bone Cyst ◽  
Open Biopsy ◽  
Rare Case Report ◽  
Aneurysmal Bone Cysts ◽  
The Right

Aneurysmal bone cysts (ABC) are blood-filled, locally destructive, expansile lesions of the bone. ABC of the proximal femur is usually unilateral in presentation. As far as the English literature is concerned, there is no case report of bilateral involvement of the proximal femur by primary ABC. We hereby present a rare case of bilateral primary ABC of the proximal femur with pathological fracture of the right femoral neck. The patient underwent right hip hemiarthroplasty and open biopsy and curettage of the left proximal femur. ABC is usually unilateral in location. Whenever there is a bilateral lesion in the proximal femur usually ABC is not suspected as a differential diagnosis, but ABC may have a bilateral presentation.

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