[Aneurysmal bone cysts of the metacarpals and phalanges of the hand. A 6 case series and literature review].
Aneurysmal bone cysts arising from tubular bones of the hand occur very rarely and require particular diagnostic and therapeutic management techniques. The authors report the diagnostic and surgical management of a monocentric case series of six aneurysmal bone cysts involving the phalangeal and metacarpal bones. In addition to hightlighting the use of diagnostic MRI and biopsy prior to surgical intervention, the authors describe the favourable outcome of curetage with and without the use of bone graft. An aggressive treatment approach such as cryotherapy or resection with reconstruction should only be used in cases when the articular surface is involved, when full bone invasion of the phalanx or metacarpal has occurred, or in case of more than one recurrence.
Ropars
M
M
Service de chirurgie orthopédique et de réparatrice (SCOR) du Professeur Langlais, Rennes Urgences Main, hôpital Sud, 129, boulevard de Bulgarie, 35056 Rennes cedex, France. roparsmikl@yahoo.fr
Kaila
R
R
Briggs
T
T
Cannon
S
S
D000293:Adolescent; D000328:Adult; D017824:Bone Cysts, Aneurysmal / Q000145:classification / Q000175:diagnosis* / Q000601:surgery*; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation; D002648:Child; D003475:Curettage; D003952:Diagnostic Imaging; D004564:Electrocoagulation; D005260:Female; D050278:Finger Phalanges / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D050279:Metacarpal Bones / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D014182:Transplantation, Autologous
D018786:Bone Substitutes