15Nov 2017

A RARE CASE OF PROXIMAL ULNA ANEURYSMAL BONE CYST TREATED WITH FIBULLAR STUD GRAFT.

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An aneurysmal bone cyst (ABC) is a rare,benign, destructive, hemorrhagic and expansile lesion accounting for 1% of all bone tumors with a thin wall containing blood filled cystic cavities. The term aneurysmal is derived from the macroscopic appearance of sponge like tumour containing numerous giant cells. This type of lesion predominantly affects the metaphysis of long bone. The present study reports a rare case of ABC of the proximal ulna occurring in a 16 year old male patient, who presented with swelling over right elbow joint and pain is the main complain. Xrays and MRI of the left elbow revealed a segmented, expansile, multiseptated lesion with fluid fluid levels and biopsy was performed initially to confirm the diagnosis followed by enbloc excision of cyst was done and fibular stud graft from right side along with cancellous bone graft from left ASIS (anterior superior iliac spine) and fixed with intramedullary K-wire.The present study aims to describe a case of ABC of the proximal ulna a rare site, a condition that often poses a diagnostic challenge, and to underline the importance of radiological and histological examinations for the accuracy of that diagnosis.


  1. Jaffe HL and Lichtenstein L: Solitary unicameral bone cyst with emphasis on the roentgen picture, the pathologic appearance and the pathogenesis. Arch Surg 44: 1004 ‑11025, 1942.
  2. Cottalorda J and Bourelle S: Modern concepts of primary aneu?rismal bone cyst. Arch Orthop Trauma Surg 127: 105‑114, 2007.
  3. Lichtenstein L: Aneurysmal bone cyst: A pathological entity commonly mistaken for giant cell tumor and occasionally for hemangioma and osteogenic sarcoma. Cancer 3: 279‑289, 1950.
  4. Singh DK, Singh N and Pant MC: Aneurysmal bone cyst: An unusual presentation of back pain. Asian J Neurosurg 9: 105?107, 2014.
  5. Hakim DN, Pelly T, Kulendran M and Caris JA: Benign tumours of the bone: A review. J Bone Oncol 4: 37-41, 2015.
  6. Bonakdarpour A, Levy WM and Aegerter E: Primary and secondary aneurysmal bone cysts: A radiological study of 75 cases. Radiology 126: 75‑83, 1978.
  7. Campanacci M, Capanna R and Picci P: Unicameral and aneu?rysmal bone cysts. Clin Orthop Relat Res 204: 25‑36, 1986.
  8. Barnhart MD: Malignant transformation of an aneurysmal bone cyst in a dog. Vet Surg 31: 519‑524, 2002.
  9. Hsu CS, Hentz VR and Yao J: Tumours of the hand. Lancet Oncol 8: 157‑166, 2007.
  10. Saito T, Oda Y, Kawaguchi K, Tanaka K, Matsuda S, Sakamoto A, Iwamoto Y and Tsuneyoshi M: Five‑year evolution of a telangi?ectatic osteosarcoma initially managed as an aneurysmal bone cyst. Skeletal Radiol 34: 290‑2941, 2005.
  11. Ozaki T, Hillmann A, Lindner N and Winkelmann W: Aneu?rysmal bone cysts in children. J Cancer Res Clin Oncol 122: 767‑769, 1996.
  12. Vergel De Dios AM, Bond JR, Shives TC, McLeod RA and Unni KK: Aneurysmal bone cyst. A clinicopathologic study of 238 cases. Cancer 69: 2921?2931, 1992.
  13. Freiberg A, Loder R, Heidelberger K and Hensinger RN: Aneurysmal bone cysts in young children. J Pediatr Orthop 14: 86‑91, 1994.
  14. Foo LF and Raby N: Tumours and tumour‑like lesions in the foot and ankle. Clin Radiol 60: 308‑3332, 2005.
  15. Ratner V and Dorfman HD: Giant‑cell reparative granuloma of the hand and foot bones. Clin Orthop Relat Res 260: 251‑258, 1990.
  16. Futamura N, Urakawa H, Tsukushi S, Arai E, Kozawa E, Ishiguro N and Nishida Y: Giant cell tumor of bone arising in long bones possibly originates from the metaphyseal region. Oncol Lett 11: 2629-2634, 2016.
  17. Cook DL, Rosenthal DC and Shikoff MD: Giant cell reparative granuloma of the middle phalanx of the foot: A review and case report. J Foot Ankle Surg 47: 589-593, 2008.
  18. Hanna BG, Donthineni R, Majid K, Parekh S, Shin JS and Lackman RD: Leg mass in a 61‑year‑old man. Clin Orthop Relat Res 406: 298‑307, 2003.
  19. Brindley GW, Greene JF Jr and Frankel LS: Case reports: Malignant transformation of aneurysmal bone cysts. Clin Orthop Rel Res 438: 282‑287, 2005.
  20. Gibbs PC Jr, Hefele MC, Peabody TD, Montag AG, Aithal V and Simon MA: Aneurysmal bone cyst of the extremities. Factors related to local recurrence after curettage with a high‑speed burr. J Bone Joint Surg Am 81: 1671‑1678, 1999.
  21. Iltar S, Alemdaroğlu KB, Karalezli N, Irgit K, Caydere M and Aydoğan NH: A case of an aneurysmal bone cyst of a metatarsal: Review of the differential diagnosis and treatment options. J Foot Ankle Surg 48: 74‑79, 2009.
  22. Boubbou M, Atarraf K, Chater L, Afifi A and Tizniti S: Aneurysmal bone cyst primary‑about eight pediatric cases: Radiological aspects and review of the literature. Pan Afr Med J 15: 111, 2013.
  23. Rastogi S, Varshney MK, Trikha V, Khan SA, Choudhury B and Safaya R: Treatment of aneurysmal bone cysts with percutaneous sclerotherapy using polidocanol. A review of 72 cases with long‑term follow‑up. J Bone Joint Surg Br 88: 1212‑1216, 2006.
  24. Cugati G, Pande A, Jain PK, Symss NP, Ramamurthi R and Vasudevan CM: Aneurysmal bone cyst of the lumbar spine. Asian J Neurosurg 10: 216?218, 2015.
  25. de Kleuver M, van der Heul RO and Veraart BE: Aneurysmal bone cyst of the spine: 31 cases and the importance of the surgical approach. J Pediatr Orthop B 7: 286-292, 1998

[Sagar Patel, Parth Thakor, Jainish Patel, Dhruven Kosada and Sarvang Desai. (2017); A RARE CASE OF PROXIMAL ULNA ANEURYSMAL BONE CYST TREATED WITH FIBULLAR STUD GRAFT. Int. J. of Adv. Res. 5 (Nov). 546-549] (ISSN 2320-5407). www.journalijar.com


DR,JAINISH PATEL


DOI:


Article DOI: 10.21474/IJAR01/5800      
DOI URL: https://dx.doi.org/10.21474/IJAR01/5800