Multifocal Unicameral Bone Cysts in a Middle-Aged Patient Treated with Three Different Methods: A Rare Case Report
Background: Primarily diagnosed in the first two decades of life, unicameral bone cysts (UBCs) are benign cystic lesions of the bone. More than 90% of UBCs are located in the proximal femur or proximal humerus of skeletally immature patients, however in this case report we report a middle-aged pati...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2022-05-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/322 |
| _version_ | 1828794819484319744 |
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| author | Alireza Manafi Rasi Ali Pourmojarab MirBahador Athari Mohammad Mahdi Omidian |
| author_facet | Alireza Manafi Rasi Ali Pourmojarab MirBahador Athari Mohammad Mahdi Omidian |
| author_sort | Alireza Manafi Rasi |
| collection | DOAJ |
| description |
Background: Primarily diagnosed in the first two decades of life, unicameral bone cysts (UBCs) are benign cystic lesions of the bone. More than 90% of UBCs are located in the proximal femur or proximal humerus of skeletally immature patients, however in this case report we report a middle-aged patient with multiple lesions in unusual sites.
Case Report: A 42-year-old patient presented to our institute with multiple bony lesions in the right and left tibias, proximal radius, ulna, and the second metacarpus. The lesions were later pathologically proven to be UBCs. A multimodality treatment approach was selected including decompression-only, extended curettage, bone grafting, and prophylactic fixation based on the lesion size and anatomic location. All these methods proved to be effective with no disease relapse and complete radiographic obliteration of the cavities.
Conclusion: UBCs could occur in much older patients than generally believed and the proper method of treatment should be
individualized based on the lesion’s characteristics.
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| first_indexed | 2024-12-12T03:52:51Z |
| format | Article |
| id | doaj.art-89804789302444258060d9c0a77d365a |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-12-12T03:52:51Z |
| publishDate | 2022-05-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-89804789302444258060d9c0a77d365a2022-12-22T00:39:19ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002022-05-018210.18502/jost.v8i2.9313Multifocal Unicameral Bone Cysts in a Middle-Aged Patient Treated with Three Different Methods: A Rare Case ReportAlireza Manafi Rasi0Ali Pourmojarab1MirBahador Athari2Mohammad Mahdi Omidian3Department of Orthopedics and Traumatology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Orthopedics and Traumatology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Orthopedics and Traumatology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Orthopedics and Traumatology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Background: Primarily diagnosed in the first two decades of life, unicameral bone cysts (UBCs) are benign cystic lesions of the bone. More than 90% of UBCs are located in the proximal femur or proximal humerus of skeletally immature patients, however in this case report we report a middle-aged patient with multiple lesions in unusual sites. Case Report: A 42-year-old patient presented to our institute with multiple bony lesions in the right and left tibias, proximal radius, ulna, and the second metacarpus. The lesions were later pathologically proven to be UBCs. A multimodality treatment approach was selected including decompression-only, extended curettage, bone grafting, and prophylactic fixation based on the lesion size and anatomic location. All these methods proved to be effective with no disease relapse and complete radiographic obliteration of the cavities. Conclusion: UBCs could occur in much older patients than generally believed and the proper method of treatment should be individualized based on the lesion’s characteristics. https://jost.tums.ac.ir/index.php/jost/article/view/322Case ReportsCystsBone Cysts |
| spellingShingle | Alireza Manafi Rasi Ali Pourmojarab MirBahador Athari Mohammad Mahdi Omidian Multifocal Unicameral Bone Cysts in a Middle-Aged Patient Treated with Three Different Methods: A Rare Case Report Journal of Orthopedic and Spine Trauma Case Reports Cysts Bone Cysts |
| title | Multifocal Unicameral Bone Cysts in a Middle-Aged Patient Treated with Three Different Methods: A Rare Case Report |
| title_full | Multifocal Unicameral Bone Cysts in a Middle-Aged Patient Treated with Three Different Methods: A Rare Case Report |
| title_fullStr | Multifocal Unicameral Bone Cysts in a Middle-Aged Patient Treated with Three Different Methods: A Rare Case Report |
| title_full_unstemmed | Multifocal Unicameral Bone Cysts in a Middle-Aged Patient Treated with Three Different Methods: A Rare Case Report |
| title_short | Multifocal Unicameral Bone Cysts in a Middle-Aged Patient Treated with Three Different Methods: A Rare Case Report |
| title_sort | multifocal unicameral bone cysts in a middle aged patient treated with three different methods a rare case report |
| topic | Case Reports Cysts Bone Cysts |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/322 |
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