Archives of Orthopaedic and Trauma Surgery

, Volume 129, Issue 11, pp 1489–1494 | Cite as

Our clinical experience on calcaneal bone cysts: 36 cysts in 33 patients

  • O. Polat
  • Y. Sağlık
  • H. E. Adıgüzel
  • M. Arıkan
  • H. Y. Yıldız
Orthopaedic Surgery

Abstract

Background

Solitary bone cysts are lesions of benign nature with fluid content. The frequent locations for these cysts are the proximal femur or humerus. Rarely, they may occur in locations such as the calcaneus, mostly in adults. We have reported the second largest case series of calcaneal bone cysts.

Materials and methods

Thirty-six calcaneal cysts in 33 patients, 3 of which showed bilateral involvement, diagnosed, and followed between 1995 and 2008 in our clinic were retrospectively evaluated.

Results

The third most common location was the calcaneus, with cysts in 36 (14%) patients. The age range of the patients was 13–74 years (mean, 37.9 years). The complaints of the patients upon presentation to the hospital were heel pain in 16 patients (44.4%). Eighteen patients (50%) underwent surgical treatment, of these ten patients (27.7%) were treated with curettage and autogenous iliac wing grafting.

Conclusions

Simple bone cysts with the location of calcaneus are not a rare entity. According to our series, simple bone cysts have been shown to be typically located in the calcaneus bone in middle-aged patients in particular. Furthermore, in such patients, heel pain is considerably severe, which is a symptom to be kept in mind in differential diagnosis. Curettage and autogenous grafting is the successful method of treatment and it provides good results.

Keywords

Bone Cyst Calcaneus 

References

  1. 1.
    Altermatt S, Schwobel M, Pochon JP (1992) Operative treatment of solitary bone cysts with tricalcium phosphate ceramic. A 1 to 7 year follow-up. Eur J Pediatr Surg 2:180–182PubMedCrossRefGoogle Scholar
  2. 2.
    Moreau G, Mer L (1994) Unicameral bone cyst of the calcaneus in children. J Pediatr Orthop 14:101–104PubMedGoogle Scholar
  3. 3.
    Sim E, Haid C (1990) Einkammrige Fersenbeinzysten: Operationsindikation, biomechanische Berechnungen und Nachuntersuchungsergebnisse (Unicameral calcaneal cysts: indication for surgery, biomechanical calculations, and follow-up results). Z Orthop 128:623–631PubMedCrossRefGoogle Scholar
  4. 4.
    Smith SB, Shane HS (1994) Simple bone cysts of the calcaneus. A case report and literature review. J Am Pediatr Med Assoc 84(3):127–130Google Scholar
  5. 5.
    Tscherne H, Wippermann B (1996) Die Fersenbeinzyste (The calcaneal bone cyst). Langenbecks Arch Chir 381:300–302CrossRefGoogle Scholar
  6. 6.
    Mestdagh H, Maynou C, Forgeois P, Lecomte-Houcke M (1997) Une entite rare: le kyste synovial intra osseus du calcaneum (A rare entity: the calcaneus intraosseus ganglion). Rev Chir Orthop 83:274–277PubMedGoogle Scholar
  7. 7.
    Wallenbock E, Pollanz H (1996) Solitare Kalkaneuszysten (Solitary calcaneal cysts). Langenbecks Arch Chir 381:300–302PubMedCrossRefGoogle Scholar
  8. 8.
    Sim E (1992) Langzeitverhalten homologer Knochentransplantate bei Auffiillung einkammriger Fersenbeinzysten. Nativrontgenologische und computertomographische Ergenisse (Homologous bone grafts for packing unicameral calcaneal bone cysts. Long-term radiographic and computed tomography data). Wien Klin Wochenschr 104(12):339–344PubMedGoogle Scholar
  9. 9.
    Greenspan A, Raiszadeh K, Riley GM, Matthews D (1997) Intraosseous lipoma of the calcaneus. Foot Ankle Int 18(1):53–56PubMedGoogle Scholar
  10. 10.
    Campanacci M (1990) Bone cyst. In: Bone and soft tissue tumors. Ed Mario Campanacci, Aulo Gaggi Editore, Bologna. pp 709–724Google Scholar
  11. 11.
    Mirra JM, Picci P. (1989) Tumors of fat, chap. 21. In: Mirra JM, Picci P, Gold RH (eds) Bone tumors. Lea and Febiger, Philadelphia. pp 1479–1494Google Scholar
  12. 12.
    Hanna SJ, Dasic D, Floyd A (2004) Simple bone cysts of the calcaneus: a report of five cases and a review of literature. Foot Ankle Int 25(9):680–684PubMedGoogle Scholar
  13. 13.
    Stoller DW, Johnston JO, Steinkirchner TM. (1997) Bone and soft tissue tumors, chap. 16. In: Stoller DW (ed) Magnetic resonance ımaging in orthopaedics and sports medicine, 2nd edn. Lippincott-Raven Publishers, Philadelphia, pp 1231–1339Google Scholar
  14. 14.
    Mirra JM (1989) Cysts and cyst-like lesions of bone, chap. 19. In: Mirra JM, Picci P, Gold RH (eds) Bone tumors. Lea and Febiger, Philadelphia, pp 1233–1334Google Scholar
  15. 15.
    Delloye C, De Nayer P, Malghem J, Noel H (1996) Healing of aneurysmal bone cysts by demineralized bone particles. Arch Orthop Trauma Surg 115:141–145PubMedCrossRefGoogle Scholar
  16. 16.
    Goulet JA, Senunas LE, DeSilva GL, Greenfield ML (1997) Autogenous iliac crest bone graft complications and functional assessment. Clin Orthop Relat Res 339:76–81PubMedCrossRefGoogle Scholar
  17. 17.
    Bloemers FW, Blokhuis TJ, Patka P, Bakker FC, Wippermann BW, Haarman HJ (2003) Autologous bone versus calcium-phosphate ceramics in treatment of experimental bone defects. J Biomed Mater Res B Appl Biomater 66:526–531PubMedCrossRefGoogle Scholar
  18. 18.
    Pogoda P, Priemel M, Linhart W, Stork A, Adam G, Windolf J, Rueger JM, Amling M (2004) Clinical relevance of calcaneal bone cysts: a study of 50 cysts in 47 patients. Clin Orthop Relat Res 424:202–210PubMedCrossRefGoogle Scholar
  19. 19.
    Mirra J (1989) Simple bone cyst. In: Mirra J (ed) Bone tumors: clinical radiologic and pathologic correlations. Lea and Febiger, Philadelphia, pp 1234–1261Google Scholar
  20. 20.
    McKay DW, Nason SS (1976) Surgical treatment of solitary unicameral bone cysts; a new concept. J Bone Joint Surg 58-A:734Google Scholar
  21. 21.
    Scaglietti O, Marchetti PG, Bartolozzi P (1979) The effects of methylprednisolone acetate in the treatment of bone cysts. J Bone Joint Surg 61–6:200–204Google Scholar
  22. 22.
    Spence KF, Sell KW, Brown R (1969) Solitary bone cysts: treatment with freeze-dried cancellous bone allograft. J. Bone Joint Surg. 51-A:87–96Google Scholar
  23. 23.
    Spence KF, Bright RW, Fitzgerald SP, Sell KW (1976) Solitary unicameral bone cyst; treatment with freeze-dried crushed cortical bone allograft. J. Bone Joint Surg. 58-A:636–641Google Scholar
  24. 24.
    Kingsberry LB (1957) Solitary cyst of the os calcis in adults and children: report of eight cases. J Int Coll Surg 27:83–91Google Scholar
  25. 25.
    Smith RW, Smith CF (1974) Solitary unicameral bone cyst of the calcaneus: a review of twenty cases. J. Bone Joint Surg 56-A:49–56Google Scholar
  26. 26.
    Norman A, Schiffman M (1977) Simple bone cysts: factors of age dependency. Radiology 124:779–782PubMedGoogle Scholar
  27. 27.
    Van Linthoudt D, Lagier R (1978) Calcaneal cysts: a radiological and anatomico-pathological study. Acta Orthop Scand 49:310–316PubMedCrossRefGoogle Scholar
  28. 28.
    Christman RO, Kopell HP (1961) Bilateral benign bone cysts of the os calcis. Am J Roentgenol 86:318Google Scholar
  29. 29.
    Abdel-Wanis ME, Tsuchiya H, Uehara K, Tomita K (2002) Minimal curettage, multiple drilling, and continuous decompression through a cannulated screw for treatment of calcaneal simple bone cysts in children. J Pediatr Orthop 22:540–543PubMedCrossRefGoogle Scholar
  30. 30.
    Bonnel F, Canovas F, Faure P (1999) Treatment of a simple bone cyst of the calcaneus by endoscopic curettage with cancellous bone injection. Acta Orthop Belg 65:528–531PubMedGoogle Scholar
  31. 31.
    Csizy M, Buckley RE, Fennell C (2001) Benign calcaneal bone cyst and pathologic fracture—surgical treatment with injectable calcium-phosphate bone cement (Norian): a case report. Foot Ankle Int 22:507–510PubMedGoogle Scholar
  32. 32.
    Glaser DL, Dormans JP, Stanton RP, Davidson RS (1999) Surgical management of calcaneal unicameral bone cysts. Clin Orthop Relat Res 360:231–237PubMedCrossRefGoogle Scholar
  33. 33.
    Seip GU, Thiele H (1999) Die solita¨re juvenile Fersenbeinzyste: Falldarstellung und Literaturubersicht. Unfallchirurg 102:576–579PubMedCrossRefGoogle Scholar
  34. 34.
    Schnabel M, Baumgaertel F, Walthers EM, Gotzen L (1998) Die Kalkaneuszyste-eine Indikation zur Operation? Fallbericht and Literaturubersicht. Unfallchirurg 101:704–707PubMedCrossRefGoogle Scholar
  35. 35.
    Sims E, Haid C (1990) Einka¨mmrige Fersenbeinzysten: Operationsindikation, biomechanische Berechnungen und Nachuntersuchungsergebnisse. Z Orthop 128:623–631CrossRefGoogle Scholar
  36. 36.
    Appenzeller J, Weitzner S (1974) Intraosseous lipoma of os calcis: case report and review of literature of intraosseous lipoma of extremities. Clin Orthop Relat Res 101:171–175PubMedGoogle Scholar
  37. 37.
    Unni KK (1996) Lipoma and liposarcoma. In: Unni KK (ed) Dahlin’s bone tumors. general aspects and data on 11,087 cases. Lippincott-Raven, Philadelphia, pp 349–353Google Scholar
  38. 38.
    Fahey JJ, O’Brien ET (1973) Subtotal resection and grafting in selected cases of solitary unicameral bone cyst. J. Bone Joint Surg 55-A:59–68Google Scholar
  39. 39.
    Chigira M, Maehara S, Arita S, Udagawa E (1983) The aetiology and treatment of simple bone cysts. J. Bone Joint Surg 65-B:633–637Google Scholar
  40. 40.
    Lokiec F, Ezra E, Khermosh O, Wientroub S (1996) Simple bone cysts treated by percutaneous autologous marrow grafting: a preliminary report. J Bone Joint Surg 78(6):934–937CrossRefGoogle Scholar
  41. 41.
    Campos OP (1982) Treatment of bone cysts by intracavity injection of methylprednisolone acetate. Clin Orthop 165:43–48PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • O. Polat
    • 1
  • Y. Sağlık
    • 2
  • H. E. Adıgüzel
    • 2
  • M. Arıkan
    • 3
  • H. Y. Yıldız
    • 2
  1. 1.Emergency DepartmentAnkara University School of MedicineAnkaraTurkey
  2. 2.Orthopedics and Traumatology DepartmentAnkara University School of MedicineAnkaraTurkey
  3. 3.Orthopedics and Traumatology DepartmentAnkara Oncology HospitalAnkaraTurkey

Personalised recommendations