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Simple bone cysts: true recurrence after complete obliteration

M M Seckler1, S Kenan, D Desimone

  • 1Department of Orthopaedics, Mount Sinai Medical School, New York, NY, USA.

Bulletin (Hospital for Joint Diseases (New York, N.Y.))
|January 1, 1993
PubMed
Summary
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Recurrent simple bone cysts in pediatric males were treated with curettage and bone grafting. This surgical approach effectively prevented further cyst recurrence in both reported cases.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Skeletal Biology

Background:

  • Simple bone cysts (SBCs) are benign, fluid-filled lesions that can cause pathological fractures and bone deformities.
  • Recurrence of SBCs after initial treatment can pose a significant clinical challenge, particularly in pediatric patients.
  • Effective management strategies for recurrent SBCs are crucial for preserving bone integrity and function.

Observation:

  • This report details two pediatric cases of recurrent simple bone cysts in a six-year-old and a seven-year-old male.
  • Both patients presented with symptomatic recurrent SBCs requiring surgical intervention.
  • The clinical presentation and radiographic findings of recurrent SBCs were consistent with initial presentations.

Findings:

  • Surgical intervention involved curettage of the cyst and reconstruction with a cortical banked bone graft in both cases.

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  • Post-operative follow-up demonstrated complete resolution of the cysts.
  • No clinical or radiographic evidence of further recurrence was observed during the follow-up period.

    • Implications:

    • Curettage combined with cortical banked bone grafting appears to be an effective treatment for recurrent simple bone cysts in children.
    • This surgical technique offers a viable solution for preventing recurrence and restoring bone stability.
    • Further studies with larger cohorts are warranted to confirm the long-term efficacy of this approach in pediatric SBC management.