Management Strategy for Unicameral Bone Cyst
The management of a unicameral bone cyst varies from percutaneous needle biopsy, aspiration, and local injection of steroid, autogenous bone marrow, or demineralized bone matrix to the more invasive surgical procedures of conventional curettage and grafting (with autogenous or allogenous bone) or su...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2003-06-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09704759 |
| _version_ | 1828880041347383296 |
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| author | Chin-Yi Chuo Yin-Chih Fu Song-Hsiung Chien Gau-Tyan Lin Gwo-Jaw Wang |
| author_facet | Chin-Yi Chuo Yin-Chih Fu Song-Hsiung Chien Gau-Tyan Lin Gwo-Jaw Wang |
| author_sort | Chin-Yi Chuo |
| collection | DOAJ |
| description | The management of a unicameral bone cyst varies from percutaneous needle biopsy, aspiration, and local injection of steroid, autogenous bone marrow, or demineralized bone matrix to the more invasive surgical procedures of conventional curettage and grafting (with autogenous or allogenous bone) or subtotal resection with bone grafting. The best treatment for a unicameral bone cyst is yet to be identified. Better understanding of the pathology will change the concept of management. The aim of treatment is to prevent pathologic fracture, to promote cyst healing, and to avoid cyst recurrence and re-fracture. We retrospectively reviewed 17 cases of unicameral bone cysts (12 in the humerus, 3 in the femur, 2 in the fibula) managed by conservative observation, curettage and bone grafting with open reduction and internal fixation, or continuous decompression and drainage with a cannulated screw. We suggest percutaneous cannulated screw insertion to promote cyst healing and prevent pathologic fracture. We devised a protocol for the management of unicameral bone cysts. |
| first_indexed | 2024-12-13T09:40:07Z |
| format | Article |
| id | doaj.art-fafa38262a404849ad4a5785f3141d0b |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-13T09:40:07Z |
| publishDate | 2003-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-fafa38262a404849ad4a5785f3141d0b2022-12-21T23:52:13ZengWileyKaohsiung Journal of Medical Sciences1607-551X2003-06-0119628929410.1016/S1607-551X(09)70475-9Management Strategy for Unicameral Bone CystChin-Yi ChuoYin-Chih FuSong-Hsiung ChienGau-Tyan LinGwo-Jaw WangThe management of a unicameral bone cyst varies from percutaneous needle biopsy, aspiration, and local injection of steroid, autogenous bone marrow, or demineralized bone matrix to the more invasive surgical procedures of conventional curettage and grafting (with autogenous or allogenous bone) or subtotal resection with bone grafting. The best treatment for a unicameral bone cyst is yet to be identified. Better understanding of the pathology will change the concept of management. The aim of treatment is to prevent pathologic fracture, to promote cyst healing, and to avoid cyst recurrence and re-fracture. We retrospectively reviewed 17 cases of unicameral bone cysts (12 in the humerus, 3 in the femur, 2 in the fibula) managed by conservative observation, curettage and bone grafting with open reduction and internal fixation, or continuous decompression and drainage with a cannulated screw. We suggest percutaneous cannulated screw insertion to promote cyst healing and prevent pathologic fracture. We devised a protocol for the management of unicameral bone cysts.http://www.sciencedirect.com/science/article/pii/S1607551X09704759unicameral bone cystUBCsimple bone cystSBCcannulated screw |
| spellingShingle | Chin-Yi Chuo Yin-Chih Fu Song-Hsiung Chien Gau-Tyan Lin Gwo-Jaw Wang Management Strategy for Unicameral Bone Cyst Kaohsiung Journal of Medical Sciences unicameral bone cyst UBC simple bone cyst SBC cannulated screw |
| title | Management Strategy for Unicameral Bone Cyst |
| title_full | Management Strategy for Unicameral Bone Cyst |
| title_fullStr | Management Strategy for Unicameral Bone Cyst |
| title_full_unstemmed | Management Strategy for Unicameral Bone Cyst |
| title_short | Management Strategy for Unicameral Bone Cyst |
| title_sort | management strategy for unicameral bone cyst |
| topic | unicameral bone cyst UBC simple bone cyst SBC cannulated screw |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09704759 |
| work_keys_str_mv | AT chinyichuo managementstrategyforunicameralbonecyst AT yinchihfu managementstrategyforunicameralbonecyst AT songhsiungchien managementstrategyforunicameralbonecyst AT gautyanlin managementstrategyforunicameralbonecyst AT gwojawwang managementstrategyforunicameralbonecyst |