Mesh : Adult Humans Child Bone Cysts / surgery drug therapy Fractures, Bone Injections Bone Cysts, Aneurysmal / surgery Calcaneus / surgery

来  源:   DOI:10.5435/JAAOSGlobal-D-22-00248   PDF(Pubmed)

Abstract:
Cysts of the bone are a common pathology that, although benign, are frequently treated because of their tendency to compromise the integrity of affected bone. Two common entities are unicameral bone cysts and aneurysmal bone cysts. Although these are two distinct pathologies, they are treated similarly and thus will be discussed in tandem. The optimal treatment of calcaneal bone cysts in pediatric patients has long been debated among orthopaedic surgeons because of the relatively small number of cases and varied results within the literature. Currently, there are three lines of thought regarding treatment: observation, injection, and surgical intervention. When considering which course of treatment is best for an individual patient, the surgeon must consider the fracture risk without treatment, the risk of complications with treatment, and the recurrence rate with each treatment approach. There are limited data on pediatric calcaneal cysts specifically. Still, there are much data concerning simple bone cysts of long bones in the pediatric population and calcaneal cysts in the adult population. Because of the lack of literature on the subject, there is a need for a review of the available literature and a consensus on the approach to treating calcaneal cysts in the pediatric population.
摘要:
骨囊肿是一种常见的病理,虽然是良性的,经常被治疗,因为它们倾向于损害受影响的骨骼的完整性。两个常见实体是单房骨囊肿和动脉瘤性骨囊肿。虽然这是两种截然不同的病理,它们被类似地处理,因此将被串联讨论。由于病例数量相对较少,文献中的结果各不相同,因此骨科医师长期以来一直在争论小儿跟骨骨囊肿的最佳治疗方法。目前,关于治疗有三条思路:观察,注射,和手术干预。当考虑哪种疗程最适合单个患者时,外科医生必须在没有治疗的情况下考虑骨折风险,治疗并发症的风险,以及每种治疗方法的复发率。关于小儿跟骨囊肿的数据有限。尽管如此,有很多关于儿童人群长骨单纯性骨囊肿和成人人群跟骨囊肿的数据。由于缺乏这方面的文献,有必要对现有文献进行综述,并就治疗儿科人群跟骨囊肿的方法达成共识.
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