Kaila Rajiv, Ropars Mickaël, Briggs Timothy W, Cannon Steven R
The London Bone Tumour Unit, The Royal National Orthopaedic Hospital Stanmore, Middlesex, London, UK.
J Pediatr Orthop B. 2007 Nov;16(6):429-36. doi: 10.1097/BPB.0b013e3282f05a6e.
Limited research has analysed paediatric shoulder girdle aneurysmal bone cyst management and outcomes. This study analysed locations affected, investigations, treatments and recurrence in children treated at the London Bone Tumour Unit between 1998 and 2004 and in English and French literature between 1956 and 2004. The proximal humerus and clavicle are most frequently affected whereas scapula involvement is rare. Radiographs, computed tomography and MRI are valuable. Sole curettage of clavicle and scapula lesions has low recurrence rates. Proximal humerus lesions recur most frequently. Curettage alone or with cementation are the most appealing treatments but are associated with significant recurrence.
仅有有限的研究分析了儿童肩胛带动脉瘤样骨囊肿的治疗及预后情况。本研究分析了1998年至2004年在伦敦骨肿瘤科接受治疗的儿童以及1956年至2004年英文和法文文献中所报道的儿童患者的病变部位、检查方法、治疗手段及复发情况。肱骨近端和锁骨最常受累,而肩胛骨受累情况罕见。X线片、计算机断层扫描和磁共振成像很有价值。锁骨和肩胛骨病变单纯刮除术的复发率较低。肱骨近端病变复发最为频繁。单纯刮除术或联合骨水泥填充是最具吸引力的治疗方法,但复发率较高。