Schnabel M, Baumgaertel F, Walthers E M, Gotzen L
Klinik für Unfallchirurgie, Philipps-Universität, Marburg.
Unfallchirurg. 1998 Sep;101(9):704-7. doi: 10.1007/s001130050326.
Simple bone cysts are asymptomatic, benign lesions which are usually an incidental finding on a radiograph. Etiology and treatment are controversially discussed. The weight-bearing status of the calcaneus and possible pathologic fracturing lead many authors to recommend therapeutic measures after diagnosis has been made. We present a case report of an intact unicameral bone cyst of the calcaneus concomitant with tibial and talar fractures following crush trauma. Several types of treatment for simple bone cysts of the calcaneus have been suggested. The question whether treatment is unconditionally necessary is controversially discussed. It is the author's opinion, that asymptomatic bone cysts of the calcaneus require no further treatment.
单纯性骨囊肿是无症状的良性病变,通常在X线片上偶然发现。其病因和治疗存在争议。跟骨的负重状态以及可能发生的病理性骨折使得许多作者建议在确诊后采取治疗措施。我们报告一例跟骨单房性骨囊肿完整,同时伴有挤压伤后胫骨和距骨骨折的病例。对于跟骨单纯性骨囊肿已经提出了几种治疗方法。对于是否无条件需要治疗这一问题存在争议。作者认为,无症状的跟骨骨囊肿无需进一步治疗。