Takagi Yasutaka, Yamada Hiroshi, Ebara Hidehumi, Hayashi Hiroyuki, Inatani Hiroyuki, Nakamura Yuta, Ae Koichiro, Nakanami Aki, Yahata Tetsutaro, Tsuchiya Hiroyuki
Department of Orthopaedic Surgery, Tonami General Hospital, Tonami, Toyama 939-1395, Japan.
Department of Rehabilitation Medicine, Tonami General Hospital, Tonami, Toyama 939-1395, Japan.
BJR Case Rep. 2025 Jul 28;11(5):uaaf041. doi: 10.1093/bjrcr/uaaf041. eCollection 2025 Sep.
Aneurysmal bone cyst (ABC) is a locally destructive benign tumour-like condition of the bones with blood-filled cystic cavities. The talus is an extremely rare site for an ABC, with <20 reported cases till 2012 based on a PubMed database search. Aneurysmal bone cyst recurrence in the talus after curettage and bone grafting is extremely rare. To the best of our knowledge, no detailed reports of resection and adjuvant therapy with artificial bone packing of recurrent ABC of the talus have been published. We report a case of ABC in the talus of a 9-year-old boy. As the initial surgery consisted of only lesion resection and artificial bone (beta-tricalcium phosphate [TCP]) packing, local recurrence was diagnosed. Reoperation was performed 5 months after the initial surgery. The recurrent lesion was resected using a curette, and the bone cavity septum was shaved with a high-speed burr. Phenol-ethanol ablation was used as an adjuvant with artificial bone (beta-TCP) packing to prevent recurrence. No local recurrence was observed 36 months after the reoperation. This extremely rare case of resection and adjuvant therapy with artificial bone packing of recurrent ABC of the talus highlights the need for careful observation to assess the progression of ankle joint osteoarthrosis.
骨动脉瘤样囊肿(ABC)是一种具有充满血液的囊性腔隙的、局部破坏性的良性肿瘤样骨病变。距骨是ABC极为罕见的发病部位,根据PubMed数据库搜索,截至2012年报道的病例不足20例。距骨ABC刮除术和植骨术后复发极为罕见。据我们所知,尚无关于距骨复发性ABC切除及人工骨填充辅助治疗的详细报道。我们报告一例9岁男孩距骨ABC病例。由于初次手术仅包括病变切除和人工骨(β-磷酸三钙[TCP])填充,诊断为局部复发。初次手术后5个月进行了再次手术。使用刮匙切除复发病变,并用高速磨钻刮除骨腔间隔。采用苯酚-乙醇消融作为辅助治疗,并填充人工骨(β-TCP)以防止复发。再次手术后36个月未观察到局部复发。这例极为罕见的距骨复发性ABC切除及人工骨填充辅助治疗病例强调了仔细观察以评估踝关节骨关节炎进展情况的必要性。