PDF(Pubmed)
Abstract：
Simple bone cysts (SBCs) are benign cavitary lesions that most commonly affect adolescent males in the first 2 decades of life. They are mainly asymptomatic but can manifest with pain or pathological fractures. Despite numerous proposed methods for managing calcaneal SBCs, the optimal approach toward these lesions remains controversial. Herein, we report a case of a 16-year-old girl with a calcaneal SBC. On local examination, tenderness was the only noteworthy sign. In an outpatient setting, under conscious sedation, 2 interosseous needles were simultaneously inserted into the cyst under the guidance of CT fluoroscopy. Without aspiration, a radiopaque bone cement mixture was injected into the cyst from 1 needle until serosanguineous fluid efflux from the second needle ceased. Over a 2-year follow-up period, the patient recovered without any complications. This novel technique has the potential to be used as a feasible and minimally invasive approach in the management of symptomatic unicameral calcaneal bone cysts.
摘要：
单纯性骨囊肿（SBC）是良性空洞性病变，在生命的头20年中最常见于青春期男性。它们主要无症状，但可表现为疼痛或病理性骨折。尽管提出了许多管理跟骨SBC的方法，这些病变的最佳治疗方法仍存在争议.在这里，我们报告了一例16岁女孩的跟骨SBC。在当地考试中，温柔是唯一值得注意的迹象。在门诊，在有意识的镇静下，在CT透视引导下，将2根骨间针同时插入囊肿。没有愿望，将不透射线的骨水泥混合物从1针注射到囊肿中，直到从第二针流出的浆液液体停止。经过2年的随访，患者康复，没有任何并发症。这项新技术有可能作为一种可行的微创方法，用于治疗有症状的跟骨单房骨囊肿。
