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Growth disturbances associated with untreated benign bone cysts
M Clayer1, C Boatright, E Conrad
1Department of Orthaedics and Trauma, Queen Elizabeth Hospital, Woodville, South Australia.
The Australian and New Zealand Journal of Surgery
|February 6, 1998
Summary
Benign bone cysts near a growing physis can cause growth disturbances. However, the risk of growth issues should not prevent surgical treatment for these bone cysts.
Area of Science:
- Pediatric Orthopedics
- Skeletal Biology
- Bone Pathology
Background:
- Benign bone cysts adjacent to an active physis (growth plate) can lead to physeal arrest.
- Physeal arrest may result from cyst penetration, pathologic fracture, or surgical intervention.
Purpose of the Study:
- To investigate growth disturbances caused by benign bone cysts near the physis.
- To evaluate the risk of growth disturbance in the absence of surgical intervention.
Main Methods:
- Review of pre-treatment X-rays from patients at a Children's Bone Tumor Clinic.
- Comparison of affected and normal sides to assess growth discrepancies in patients with bone cysts.
Main Results:
- Three cases of benign bone cysts adjacent to a growing physis are presented.
- These cysts caused growth disturbances without prior surgical intervention.
Conclusions:
- The inherent risk of growth disturbance from bone cysts does not contraindicate surgical treatment.
- Surgical intervention can be considered despite the potential for growth disturbance.