De Vitis Rocco, Vitiello Raffaele, Perna Andrea, Passiatore Marco, Cipolloni Valerio, Pripp Charlotte, Taccardo Giuseppe
Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Università Cattolica del Sacro Cuore, Rome, Italy.
Orthop Rev (Pavia). 2020 Jun 25;12(Suppl 1):8658. doi: 10.4081/or.2020.8658. eCollection 2020 Jun 29.
Aneurysmal bone cysts are benign, rare bony tumours frequently observed among children and young adults principally located in the long bones, pelvis, and spine and rarely in other anatomical district such as the hand. We report the case of a 12-year-old girl with an aneurysmal bone cyst, in active stage, involving the still-open epiphysis of the fourth metacarpal of the right hand, which was in a first time treated by curettage, and 3 months later, occurring a recurrence, by a radically excision of the bone and reconstruction with a graft from the iliac crest. At 10-year follow-up the patient had good cosmetic results and a functioning hand. We also performed a systematic Literature review in order to retrieve the key information regarding: the diagnosis, the clinical features and the treatment.
动脉瘤样骨囊肿是一种良性、罕见的骨肿瘤,常见于儿童和青少年,主要位于长骨、骨盆和脊柱,很少见于手部等其他解剖部位。我们报告一例12岁患有活动期动脉瘤样骨囊肿的女孩,囊肿累及右手第四掌骨仍开放的骨骺,最初采用刮除术治疗,3个月后复发,随后进行了骨根治性切除并用髂嵴骨移植重建。随访10年,患者手部外观良好且功能正常。我们还进行了系统的文献综述,以获取有关诊断、临床特征和治疗的关键信息。