The choice of treatment for simple bone cysts of the upper third of the femur in children.
A retrospective study of a series is presented of 19 simple cysts of the upper third of the femur in children of a mean age of 7 years. The patients included 4 adolescents and 15 children under the age of 10. Mean recurrence was 6 years. Different treatment methods were utilized: - surgical treatment: curettage-bone grafting with or without osteosynthesis, - intra-cystic corticoid injection, - orthopedic treatment. Cysts may be small with a low lytic potential, in this case intra-cystic corticoid injections are very effective; or bigger in size with a risk of fracture or have already caused a fracture, the treatment is then surgical but should always be combined with osteosynthesis.
Gennari
J M
JM
Service de Chirurgie Infantile et Orthopédique, C.H.U. Nord, Marseille, France.
Merrot
T
T
Piclet/Legre
B
B
Bergoin
M
M
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001845:Bone Cysts / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation; D002370:Casts, Surgical; D002648:Child; D003475:Curettage; D005260:Female; D005264:Femoral Fractures / Q000209:etiology / Q000601:surgery; D005269:Femur; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000031:analogs & derivatives / Q000627:therapeutic use; D000077555:Methylprednisolone Acetate; D011859:Radiography; D012189:Retrospective Studies; D014143:Traction
D000893:Anti-Inflammatory Agents; D000077555:Methylprednisolone Acetate; D008775:Methylprednisolone