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Aneurysmal bone cyst in early childhood
1Department of Orthopaedic Surgery, Slocum-Dickson Medical Group, Utica, New York.
Orthopaedic Review
|July 1, 1986
Insights
A rare aneurysmal bone cyst in a three-year-old
Area of Science:
- Orthopedic Surgery
- Pediatric Oncology
- Pediatric Radiology
Background:
- Aneurysmal bone cysts (ABCs) are rare, benign, expansile bone lesions.
- Distal femoral metaphyseal ABCs are uncommon in young children.
- Early diagnosis and appropriate treatment are crucial for optimal outcomes.
Observation:
- A three-year-old child presented with an aneurysmal bone cyst.
- The lesion was located in the right distal femoral metaphysis.
- The cyst was causing significant bone expansion and pain.
Findings:
- Thorough curettage of the aneurysmal bone cyst was performed.
- The cyst cavity was packed with crushed cortical bone autograft.
- Histopathological examination confirmed the diagnosis of an aneurysmal bone cyst.
Implications:
- Surgical intervention, including curettage and bone grafting, can effectively treat pediatric ABCs.
- This case highlights the importance of considering rare bone lesions in the differential diagnosis of pediatric bone pain.
- Further research into the etiology and optimal management of ABCs in children is warranted.
Abstract:
A case is presented of a three-year-old child with an aneurysmal bone cyst at the right distal femoral metaphysis, a rare lesion in children in this age group. Treatment of the lesion which included thorough curettage and packing of the cyst cavity with crushed cortical bone is described. The literature is reviewed.