Suppr超能文献

距骨动脉瘤样骨囊肿:辅助治疗局部复发的病例报告

Aneurysmal bone cyst of the talus: a case report of local recurrence treated with adjuvant therapy.

作者信息

Takagi Yasutaka, Yamada Hiroshi, Ebara Hidehumi, Hayashi Hiroyuki, Inatani Hiroyuki, Nakamura Yuta, Ae Koichiro, Nakanami Aki, Yahata Tetsutaro, Tsuchiya Hiroyuki

机构信息

Department of Orthopaedic Surgery, Tonami General Hospital, Tonami, Toyama 939-1395, Japan.

Department of Rehabilitation Medicine, Tonami General Hospital, Tonami, Toyama 939-1395, Japan.

出版信息

BJR Case Rep. 2025 Jul 28;11(5):uaaf041. doi: 10.1093/bjrcr/uaaf041. eCollection 2025 Sep.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b848/12404704/ec5a1c46530f/uaaf041f1.jpg

相似文献

1
Aneurysmal bone cyst of the talus: a case report of local recurrence treated with adjuvant therapy.
BJR Case Rep. 2025 Jul 28;11(5):uaaf041. doi: 10.1093/bjrcr/uaaf041. eCollection 2025 Sep.
2
Interventions for recurrent corneal erosions.
Cochrane Database Syst Rev. 2018 Jul 9;7(7):CD001861. doi: 10.1002/14651858.CD001861.pub4.
3
5
Interventions for treating simple bone cysts in the long bones of children.
Cochrane Database Syst Rev. 2017 Feb 4;2(2):CD010847. doi: 10.1002/14651858.CD010847.pub3.
6
Anterior Approach Total Ankle Arthroplasty with Patient-Specific Cut Guides.
JBJS Essent Surg Tech. 2025 Aug 15;15(3). doi: 10.2106/JBJS.ST.23.00027. eCollection 2025 Jul-Sep.
7
Internal dressings for healing perianal abscess cavities.
Cochrane Database Syst Rev. 2016 Aug 26;2016(8):CD011193. doi: 10.1002/14651858.CD011193.pub2.
9
Use of Surgical Adjuvants Does Not Decrease Recurrence of Aneurysmal Bone Cysts in Surgical Intervention With Pediatric Patients.
J Pediatr Orthop. 2024 Jan 1;44(1):e79-e83. doi: 10.1097/BPO.0000000000002536. Epub 2023 Oct 10.
10
Case reports with literature review of an aneurysmal bone cyst in the maxilla and mandible of two juvenile dogs.
Front Vet Sci. 2025 Jul 31;12:1632403. doi: 10.3389/fvets.2025.1632403. eCollection 2025.

本文引用的文献

1
Imaging findings of various talus bone tumors-clinico-radiologic features of talus bone tumors.
Clin Imaging. 2016 Jul-Aug;40(4):666-77. doi: 10.1016/j.clinimag.2016.02.023. Epub 2016 Feb 27.
2
Extended curettage and adjuvant therapy for benign tumors of the talus.
Foot (Edinb). 2015 Jun;25(2):79-83. doi: 10.1016/j.foot.2015.02.002. Epub 2015 Feb 24.
3
Is curettage and high-speed burring sufficient treatment for aneurysmal bone cysts?
Clin Orthop Relat Res. 2014 Nov;472(11):3483-8. doi: 10.1007/s11999-014-3809-1. Epub 2014 Jul 22.
4
May bone cement be used to treat benign aggressive bone tumors of the feet with confidence?
Foot (Edinb). 2014 Mar;24(1):1-5. doi: 10.1016/j.foot.2013.10.014. Epub 2013 Nov 12.
5
Primary aneurysmal bone cyst of talus.
J Res Med Sci. 2012 Dec;17(12):1192-4.
6
Aneurysmal bone cysts recur at juxtaphyseal locations in skeletally immature patients.
Clin Orthop Relat Res. 2008 Mar;466(3):722-8. doi: 10.1007/s11999-007-0080-8. Epub 2008 Jan 17.
7
Surgical treatment and recurrence rate of aneurysmal bone cysts in children.
Clin Orthop Relat Res. 2004 Apr(421):205-11. doi: 10.1097/01.blo.0000126336.46604.e1.
8
Aneurysmal bone cyst of the extremities. Factors related to local recurrence after curettage with a high-speed burr.
J Bone Joint Surg Am. 1999 Dec;81(12):1671-8. doi: 10.2106/00004623-199912000-00003.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验