J Korean Orthop Assoc.  1979 Sep;14(3):374-384. 10.4055/jkoa.1979.14.3.374.

Treatment of Simple Bone Cyst

• Lee HK
• Lee SH
• Kim SR

• KMID: 2460276
• DOI: http://doi.org/10.4055/jkoa.1979.14.3.374

Abstract

Simple bone cyst was first described by Virchow over a century ago and has been the subject of numerous articles. Nevertheless considerable confusion still exists regarding its etiology. clinical behavior and optimal management. Eighteen cases of pathologically proven simple bone cyst were treated in the Department of Orthopedic Surgery, Seoul National University Hospital during the thirteen year period from June 1966 to May 1979, and following results were obtained. 1. Age distributions were between five and forty-three years (Average ; seventeen years), and 72.2% (thirteen cases) were during first two decades of life. 2. Male to female ratio was 2.6 to 1 3. The most frequently involved location was proximal humerus followed by proximal femur. 4. Pathologic fracture, pain, incidental roentgenography and swelling were the first clues of diagnosis in our series. 5. In twelve cases curettage and fresh autogenous iliac bone graft was performed and good results were obtained in all of them. Of five cases only curettage had been done, no case recurred, another case showed residual cystic area, and the rest healed without further event. In one case with huge cyst curettage, iliac and fibular bone graft and bone cementing was performed with satisfactory result. 6. Bone shortening was noticed in two cases of active bone cysts in proximal humerus 2cm and 3cm, respectively.

MeSH Terms

Age Distribution
Bone Cysts*
Curettage
Diagnosis
Female
Femur
Fractures, Spontaneous
Humans
Humerus
Male
Orthopedics
Radiography
Seoul
Transplants