Primary Aneurysmal Bone Cyst in the Iliac Bone: A Case Report
Hip & Pelvis 2014³â 26±Ç 3È£ p.202 ~ p.205
(Kim Chae-Geun) - St. Carollo Hospital Department of Orthopaedic Surgery
±Ç¼®Çö(Kweon Seok-Hyun) - Wonkwang University College of Medicine Department of Orthopaedic Surgery
Abstract
Symptomatic aneurysmal bone cysts with expansible lesions in the pelvis are rare in children. The management of an aggressive vascular lesion in a female child is challenging. The standard treatment for aneurysmal bone cysts is accompanied by a high risk of local recurrence. A 12-year-old female presented with a history of pelvic pain for 5 months. Plain radiographs and magnetic resonance imaging showed a very large expansile lytic lesion arising from the right iliac bone. Intralesional curettage, electric cauterization, chemical sclerotherapy and allogeneic bone graft were performed through the window of the iliac crest. At a follow-up consultation 3.5 years post-surgery, the child had painless full-range movement in the hip joint with no recurrence. Although many treatment options are described, our patient was treated successfully using curettage and allogeneic bone graft without recurrence.
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Pelvic iliac bone, Aneurysmal bone cysts, Curettage, Electric cauterization, Chemical sclerotherapy
KMID :
1028220140260030202
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