Skip to main content

Advertisement

SpringerLink
Log in

Evaluation of volume and solitary bone cyst remodeling using conventional radiological examination

  • Scientific Article
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Objective

To evaluate cyst remodeling, including complete healing and recurrence, and its relation to the cyst volume in two groups of patients, using curettage and bone grafting or methylprednisolone injection.

Materials and methods

A retrospective analysis was carried out on data from 132 patients with solitary bone cyst, where 79 (59.9%) had undergone curettage and bone grafting and 53 (40.1%) had been administered methylprednisolone injection, with a mean time to follow up of 12 years. The cyst volume was evaluated from conventional radiographs and the method originally reported by Göbel et al. to evaluate the volume of Ewing’s sarcoma. The results were analyzed using the criteria of Neer et al. and Capanna et al.

Results

The mean cyst volume was 36.8 cm3. Recurrence was noted in 16 (20.2%) patients treated with curettage and in nine (17.0%) treated with methylprednisolone. Cyst volume in patients treated with curettage and bone grafting ranged from 8.3 cm3 to 100.0 cm3 and with methylprednisolone from 14.0 cm3 to 50.6 cm3 . In neither group was the cyst volume related to recurrence. Volumes from 1.3 cm3 to 81.9 cm3 were stated for patients treated with curettage and bone grafting, when complete healing was observed; they were significantly lower than for those of the total group of patients who underwent curettage and bone grafting.

Conclusions

1. An association between solitary cyst volume and recurrence in patients treated with either bone curettage and grafting or methylprednisolone was not found. 2. The frequency of complete healing in patients treated with bone curettage and grafting decreased with an increase in the cyst volume.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Kruls H. Pathological fractures in children due to solitary bone cyst. Reconstr Surg Traumatol. 1979; 17: 113–118.

    CAS  PubMed  Google Scholar 

  2. Cohen J. Unicameral bone cyst. A current synthesis of reported cases. Orthop Clin North Am. 1977; 8: 715–736.

    Google Scholar 

  3. Chigira M, Maehara S, Arita S, Udagawa E. The aetiology and treatment of simple bone cyst. J Bone Joint Surg Br. 1983; 65: 633–637.

    Google Scholar 

  4. Gitelis S, Wilkins R, Conrad E. Benign bone tumours. J Bone Joint Surg Am. 1995; 77: 1756–1781.

    Google Scholar 

  5. Neer C, Francis K, Marcove R, Terz J, Carbonara P. Treatment of unicameral bone cyst. J Bone Joint Surg Am. 1966; 48: 731–774.

    Google Scholar 

  6. Neer Ch, Francis K, Johnston A, Kiernan H. Current concepts on the treatment of solitary unicameral bone cyst. Clin Orthop Relat Res. 1973; 97: 40–52.

  7. Campanacci M, Capanna R, Picci P. Unicameral and aneurysmal bone cyst. Clin Orthop Relat Res. 1986; 204: 25–36.

    PubMed  Google Scholar 

  8. Capanna R, Dal Monte A, Gitelis S, Campanacci M. The natural history of unicameral bone cyst after steroid injection. Clin Orthop Relat Res. 1982; 166: 204–211.

    PubMed  Google Scholar 

  9. Kanellopoulos A, Yiannakopoulos C, Soucacos P. Percutaneous reaming of simple bone cyst in children followed by injection of demineralized bone matrix and autologous bone marrow. J Ped Orthop. 2005; 25: 671–675.

    Google Scholar 

  10. Docquier P-L, Delloye C. Treatment of simple bone cysts with aspiration and a single bone marrow injection. J Ped Orthop. 2003; 23: 766–773.

    Google Scholar 

  11. Dormans J, Sankar W, Moroz L, Erol B. Percutaneous intramedullary decompression, curettage, and grafting with medical-grade calcium sulfate pellets for unicameral bone cysts in children. A new minimally invasive technique. J Ped Orthop. 2005; 25: 804–811.

    Google Scholar 

  12. McKay D, Nason S. Treatment of unicameral bone cyst by subtotal resection without grafts. J Bone Joint Surg Am. 1977; 59: 515–519.

    Google Scholar 

  13. Ekkernkamp A, Muhr G, Lies A. Die kontinuierliche dekompression. Unfall Chirurg. 1990; 93: 359–543.

    Google Scholar 

  14. De Sanctis N, Andreacchio A. Elastic stable intramedullary nailing is the best treatment of unicameral bone cyst of the long bones in children. J Ped Orthop. 2006; 26: 520–525.

    Google Scholar 

  15. Scaglietti O, Marchetti PG, Bartolozzi P. The effects of methylprednisolone acetate in the treatment of bone cysts. J Bone Joint Surg Br. 1979; 61: 2000–2004.

    Google Scholar 

  16. Göbel V, Jürgens H, Estpüler G, et al. Prognostic significance of tumour volume in localized Ewing’s sarcoma of bone in children and adolescent. J Cancer Res Clin Oncol. 1987; 113: 187–191.

    Article  PubMed  Google Scholar 

  17. Scaglietti O, Marchetti PG, Bartolozzi P. Final results obtained in the treatment of bone cyst with methylprednisolone acetate (Depo-Medrol) and a discussion of results achieved in other bone lesions. Clin Orthop Relat Res. 1982; 165: 33–42.

    PubMed  Google Scholar 

  18. Stanton R, Abdel-Mota’al, Magdy M. Growth arrest resulting from unicameral bone cyst. J Ped Orthop. 1998; 18: 198–201.

  19. Spence, K, Sell K, Brown R. Solitary bone cyst: treatment with freeze-dried cancellous bone allograft. J Bone Joint Surg Am. 1969; 51: 87–96.

    Google Scholar 

  20. Killian J, Wilkinson L, White S, Brassard M. Treatment of unicameral bone cyst with demineralized bone matrix. J Ped Orthop. 1998; 18: 621–624.

    Google Scholar 

  21. Roposch A, Saraph V, Linhart W. Flexible intramedullary nailing for the treatment of unicameral bone cyst in long bones. J Bone Joint Surg Am. 2000; 82: 1447–1454.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Paediatric Orthopaedics, Karol Marcinkowski University of Medical Sciences, Poznan, Poland

    Maciej Glowacki & Piotr Melzer

  2. Department of Radiology, J. Strus City Hospital, ul. Szkolna 8/12, 61-833, Poznan, Poland

    Anna Ignys-O’Byrne

  3. Department of Paediatric Gastroenterology and Metabolic Diseases, Karol Marcinkowski University of Medical Sciences, Poznan, Poland

    Iwona Ignys

  4. Department of Paediatric Surgery, Traumatology and Urology, Karol Marcinkowski University of Medical Sciences, Poznan, Poland

    Przemyslaw Mankowski

Authors
  1. Maciej Glowacki
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Anna Ignys-O’Byrne
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Iwona Ignys
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Przemyslaw Mankowski
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Piotr Melzer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Anna Ignys-O’Byrne.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Glowacki, M., Ignys-O’Byrne, A., Ignys, I. et al. Evaluation of volume and solitary bone cyst remodeling using conventional radiological examination. Skeletal Radiol 39, 251–259 (2010). https://doi.org/10.1007/s00256-009-0701-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-009-0701-2

Keywords

Search

Navigation