Cottalorda J, Bollini G, Panuel M, Scheiner C, Jouve J L, Labriet C, Bouyala J M
Service de Chirurgie orthopédique infantile, Hôpital d'Enfants de la Timone.
Rev Chir Orthop Reparatrice Appar Mot. 1993;79(4):272-80.
The authors have analysed a series of aneurysmal bone cysts (A.B.C.) in children and adolescents which were reviewed at an average follow-up of 4 years 2 months (6 months-15 years). The average age at diagnosis was 8 years (3-19 years). Pathological fractures were the main reason for consultation, probably due to the predominance of central lesions. If conventional radiology remains indispensable to diagnosis, magnetic resonance imaging is nevertheless the most important examination in determining the extent of the affection. The diagnosis remains anatomopathological, even if this may be difficult due to associated lesions (A.B.C. illness and A.B.C. symptoms). In long bones lesions, we observed recurrence after curettage in 3 out of 7 cases. For this reason the recommend simple resection or reconstructive resection rather than curettage whenever possible. 5 lesions in contact with growth plate were observed. In such cases we recommend its conservation by careful curettage, especially in young children. We feel that subsequent recurrence is easier to treat than an epiphysiodesis bridge. The surgical techniques employed to conserve the plate are described along with methods of bone reconstruction after surgery.
作者分析了一系列儿童和青少年的骨动脉瘤样骨囊肿（ABC），平均随访时间为4年2个月（6个月至15年）。诊断时的平均年龄为8岁（3至19岁）。病理性骨折是就诊的主要原因，这可能是由于中央型病变占主导。尽管传统放射学对诊断仍然不可或缺，但磁共振成像仍是确定病变范围的最重要检查。即使由于相关病变（ABC病和ABC症状）可能难以进行，但诊断仍需依靠解剖病理学。在长骨病变中，我们观察到7例中有3例在刮除术后复发。因此，我们建议尽可能进行简单切除或重建性切除而非刮除术。观察到5处病变与生长板接触。在这种情况下，我们建议通过仔细刮除术保留生长板，尤其是在幼儿中。我们认为后续复发比骺板固定桥更容易治疗。文中描述了保留生长板所采用的手术技术以及术后骨重建方法。
