Successful treatment of humeral giant aneurysmal bone cyst: value of the induced membrane reconstruction technique

Abstract

The aneurysmal bone cyst (ABC) is a benign cystic lesion of the bone that was first described in 1942 by Jaffe and Lichtenstein. 20 Jaffe H. Lichtenstein L. Solitary unicameral bone cyst: with emphasis on the roentgen picture, the pathologic appearance and the pathogenesis. Arch Surg. 1942; 44: 1004-1025 Crossref Google Scholar ABCs appear generally before the age of 20 years in the long bones and the spine, mainly in the metaphyseal region. 11 Essadki B. Dkhissi M. Moujtahid M. Zryouil B. [Aneurysmal diaphyseal bone cyst. Etio-pathogenic hypothesis and review of the literature. A case report]. Rev Chir Orthop Reparatrice Appar Mot. 1999; 85: 297-301 PubMed Google Scholar It represents approximately 1% of benign bone tumors, for an incidence of 0.14 case per 10 5 Beslikas T. Chytas A. Christodoulou A. Gigis I. Christoforidis I. A giant scapular aneurysmal bone cyst in a child. Case Rep Orthop. 2012; 2012: 327023https://doi.org/10.1155/2012/327023 Crossref PubMed Google Scholar individuals. 7 Cottalorda J. Bourelle S. Le kyste osseux anévrismal primitif: quoi de neuf en 2006?. Rev Chir Orthop Reparatrice Appar Mot. 2007; 93: 5-16https://doi.org/10.1016/S0035-1040(07)90198-1 Crossref PubMed Google Scholar Several types of treatment have been abandoned: radiotherapy, because of its risk of sarcomatous degeneration 2 Aho H.J. Aho A.J. Einola S. Aneurysmal bone cyst, a study of ultrastructure and malignant transformation. Virchows Arch A Pathol Anat Histol. 1982; 395: 169-179 Crossref PubMed Scopus (40) Google Scholar , 10 Cottalorda J. Kohler R. Sales de Gauzy J. Chotel F. Mazda K. Lefort G. et al. Epidemiology of aneurysmal bone cyst in children: a multicenter study and literature review. J Pediatr Orthop B. 2004; 13: 389-394https://doi.org/10.1097/01202412-200411000-00008 Crossref PubMed Scopus (124) Google Scholar and the damage to growth plates of children; intracystic corticosteroid injection, which in addition to many failures can accelerate the growth of the ABC; and intracystic injection of calcitonin, because of its poor effectiveness.