Management of aneurysmal bone cyst of proximal femur with a pathologic intertrochanteric femur fracture with an intramedullary nail and bone graft: A case report

Pawar, Eknath; Harsoor, Abhishek; Ramteke, Ujwal; Yadav, Amit Kumar; Aher, Ganesh

doi:10.22271/ortho.2019.v5.i4d.1666

Cited by 2 publications

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“…75 ABCs represent a different and distinct entity because of their destructive and expansible nature. 43 They are characterized by a proliferation of connective tissue within blood-filled cavities. 42 Sometimes they are accompanied by potentially benign lesions such as chondroblastoma or giant cell tumors.…”

Section: Generalized Subchondral Bone Resorptionmentioning

confidence: 99%

“…Chondroblastoma is a rare benign tumor, typically leading to a cystic lesion in the epiphyses of long bones 75 . ABCs represent a different and distinct entity because of their destructive and expansible nature 43 . They are characterized by a proliferation of connective tissue within blood‐filled cavities 42 .…”

Section: Definition Of a Subchondral Bone Cyst In The Clinical Context Of Cartilage Repairmentioning

confidence: 99%

“…From a clinical perspective, they are often causing pain and may reduce the range of motion and of the overall joint function. Bone cysts might result from external (trauma) or multiple internal etiologies such as osteoarthritis (OA), the major degenerative joint disease, [33][34][35][36] rheumatoid arthritis (RA), 37,38 intraosseous ganglia, [39][40][41] aneurysmal bone cysts (ABC), [42][43][44][45] and articular cartilage defects. [46][47][48] As such bone cysts alter the structural support for weightbearing, they potentially undermine the biomechanics of the joint, inducing degeneration of the overlying articular cartilage, subchondral collapse, and fracture, all leading to a possible extension into formerly unaffected areas in the form of OA.…”

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confidence: 99%

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Cyst formation in the subchondral bone following cartilage repair

Gao

Cucchiarini

2020

Clinical & Translational Med

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Section: Generalized Subchondral Bone Resorptionmentioning

confidence: 99%

Section: Definition Of a Subchondral Bone Cyst In The Clinical Context Of Cartilage Repairmentioning

confidence: 99%

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confidence: 99%

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Cyst formation in the subchondral bone following cartilage repair

Gao

Cucchiarini

2020

Clinical & Translational Med

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“…Although benign malignant transformation has been seen in a few cases. Pathological fracture occurs in about 8% of ABCs [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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

Kushwaha¹,

Lal²,

Kumar³

et al. 2021

JOCR

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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

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Management of aneurysmal bone cyst of proximal femur with a pathologic intertrochanteric femur fracture with an intramedullary nail and bone graft: A case report

Cited by 2 publications

References 0 publications

Cyst formation in the subchondral bone following cartilage repair

Cyst formation in the subchondral bone following cartilage repair

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

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