Skip to main content

Advertisement

Log in

A bullet-sired bone cyst

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Random gunfire deposited a bullet in the proximal tibial metaphysis of a 9-year- old girl. The wound was not incapacitating and was treated conservatively. Within 17 months, soreness developed in the proximal leg, and radiography revealed a large unicameral cyst within which the bullet freely tumbled. Eventually, fear of impending fracture prompted further radiography, computed tomography, surgical intervention and pathological examination of the cyst wall. We believe this is only the second description in the English-language literature of this rare sequence of events.

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

Access this article

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

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Taxin RN, Feldman F. The tumbling bullet sign in a post-traumatic bone cyst. AJR 1975;123:140–143

    CAS  Google Scholar 

  2. Worlane RL. Bone cyst following gunshot wound: case report. J Trauma 1975;7:613–615

    Article  Google Scholar 

  3. Cohen J. Etiology of simple bone cyst. J Bone Jt Surg 1970;52-A:1493–1497

    Google Scholar 

  4. Makely JT, Joyce MJ. Unicameral bone cyst (simple bony cyst). Orthop Clin North Am 1989;20:407–415

    Google Scholar 

  5. Broder HM. Possible precursor of unicameral bone cysts. J Bone Jt. Surg 1968;50-A:503–507

    Google Scholar 

  6. Unni KK. Dahlin’s bone tumors. 5th edn. Philadelphia, Lippincott-Raven, 1996;390–391

    Google Scholar 

  7. Mirra JM. Bone Tumors. Philadelphia, Lea & Febiger, 1989:1235–1261

    Google Scholar 

  8. Resnick D. Heavy metal poisoning and deficiency. In: Resnick D. Diagnosis of bone and joint disorders. Philadelphia: Saunders;2002:3469–3471

    Google Scholar 

  9. Messmer JM. Radiology of gunshot wounds. In: Brogdon BG. Forensic radiology. Boca Raton: CRC Press;1998:213

    Google Scholar 

  10. Messmer JM, Brogdon BG. Pitfalls in the radiology of gunshot wounds. In: Brogdon BG, Vogel H, McDowell JD (eds). A radiologic atlas of abuse, torture, terrosism, and inflicted trauma. Boca Raton: CRC Press;2002:179

    Google Scholar 

  11. Weissman BN. Imaging of joint replacement. In: Resnick D (ed) Diagnosis of bone and joint disorders. Philadelphia: Saunders;2002:595–620

    Google Scholar 

  12. Letts RM, Miller D. Gunshot wounds of the extremities in children. J Trauma 1976;16:807–811

    Article  PubMed  CAS  Google Scholar 

  13. Strenger G, Swartz D. Late affects of retained missile fragments. N Y J Med 1959;59:3967–3970

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to B. G. Brogdon.

Additional information

Presented, in part, at the Annual Meeting of the International Skeletal Society, Quebec City, Canada, 3 September 2001.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brogdon, B.G., Cottrell, W.C., Nimityongskul, P. et al. A bullet-sired bone cyst. Skeletal Radiol 35, 959–963 (2006). https://doi.org/10.1007/s00256-006-0138-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-006-0138-9

Keywords

Navigation