Lasanianos Nikolaos G, Spanos Ioannis, Papaioannou Aggeliki, Paneri Elisavet
1st Department of Trauma & Orthopaedic surgery, Athens General Infirmary "Evaggelismos", 10676 Athens, Greece.
Case Rep Med. 2011;2011:861094. doi: 10.1155/2011/861094. Epub 2011 Aug 4.
Simple bone cysts are nonsymptomatic lesions. They typically involve the medullary cavity, but they can also be found in nonlong bones such as the calcaneum. Their treatment remains controversial varying from observation and conservative healing to irritating injections or bone grafting. In the case of a pathologic fracture, surgical treatment seems most appropriate especially when the cyst is situated on a weight-bearing bone. We present herein the rare case of a spontaneously healed pathological fracture over a critical-size calcaneal cyst of a patient reluctant to undergo surgical treatment. An interpretation of the healing procedure as well as a review of the literature is presented.
单纯性骨囊肿是无症状性病变。它们通常累及髓腔，但也可见于非长骨，如跟骨。其治疗仍存在争议，从观察和保守愈合到刺激性注射或骨移植不等。对于病理性骨折，手术治疗似乎最为合适，尤其是当囊肿位于承重骨时。我们在此报告一例罕见病例，一名不愿接受手术治疗的患者，其临界大小的跟骨囊肿上的病理性骨折自发愈合。本文对愈合过程进行了解释，并对相关文献进行了综述。
