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Bilateral unicameral bone cysts in the hamate bones.

M Jasan1, J H House, J C Brand

  • 1Department of Orthopedic Surgery, University of Minnesota, Minneapolis 55455.

The Journal of Hand Surgery
|November 1, 1990
PubMed
Summary

This case report details bilateral unicameral bone cysts in a patient's hamate bones, a rare occurrence. Treatment involved surgery and bone grafting, with no prior literature documenting symmetrical carpal bone cysts.

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Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Pathology

Background:

  • Unicameral bone cysts (UBCs) are typically found in long bones.
  • UBCs in the carpal bones, particularly the hamate, are exceptionally rare.
  • Bilateral presentation of UBCs in the carpal region is unprecedented in medical literature.

Observation:

  • A 22-year-old male presented with bilateral lesions in the hamate bones.
  • Radiographic and magnetic resonance imaging (MRI) studies were crucial for diagnosis.
  • Microscopic examination of the biopsied specimen confirmed the diagnosis of unicameral bone cysts.

Findings:

  • The case report documents the first known instance of symmetrical unicameral bone cysts in the carpal bones.
  • Diagnosis was confirmed through a combination of advanced imaging and histopathological analysis.

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  • Successful treatment was achieved through curettage, autogenous bone grafting, and immobilization.

    • Implications:

    • This case expands the known anatomical distribution of unicameral bone cysts.
    • Highlights the importance of considering rare diagnoses in carpal bone pathologies.
    • Provides a treatment case study for a unique presentation of unicameral bone cysts.