Summary
We report the long-term results with ten patients with simple bone cysts with special retrospective reference to the radiographic evidence of healing after hole drilling. Cortical thickening was initially observed within 3 months, and minimal new bone formation around Kirschner wires left in situ was observed within 4 months. New bone formation gradually progressed from the cyst wall and around the wire. Consolidation of a cyst cavity was uniformly observed 6–7 months after drilling. In several patients residual cysts were seen between the wire and cortical shell. In younger patients, a cystic cavity reappeared after extraction of the wire, although complete radiographic healing had been observed. These findings suggest that a Kirschner wire plays an important role in preventing relapse of simple bone cysts after hole drilling.
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Campanacci M, De Sessa L, Bellando Randone P (1975) Cisti ossea (rivisione di 275 osservazioni. Risultati dellacura chirugica e primi risultati della cura incruenta con metilprednisolone acetato). Chir Organi Mov 62:471–482
Capanna R, Dal Monte A, Gitelis S, Campanacci M (1982) The natural history of unicameral bone cyst after steroid injection. Clin Orthop 166:204–211
Chigira M, Maehara S, Arita S, Udagawa E (1983) The etiology and treatment of simple bone cysts. J Bone Joint Surg [Br] 65:633–637
Chigira M, Watanabe H, Maehara S, Shinozaki T (1984) Pain and internal hypertension on bone lesions. Acta Orthop Scand 55:375–377
Cohen J (1960) Simple bone cysts: studies of cyst fluid in six cases with a theory of pathogenesis. J Bone Joint Surg [Am] 42:609–619
Cohen J (1970) Etiology of simple bone cyst. J Bone Joint Surg[Arn] 52:1493–1497
Cohen J (1977) Unicameral bone cysts. A current synthesis of reported cases. Clin Orthop North Am 8:4
Fahey JJ, O'Brien ET (1973) Subtotal resection and grafting in selected cases of solitary unicameral bone cyst. J Bone Joint Surg [Am] 55:59–68
Jaffe HL, Lichtenstein L (1942) Solitary unicameral bone cyst: with emphasis on the roentgen picture, the pathologic appearance and pathogenesis. Arch Surg 44:1004–1025
Kuboyama K, Shidou T, Harada A, Yokoe S (1981) Therapy of solitary unicameral bone cyst with percutaneous trepanation (in Japanese). Rinsho Seikei Geka 16:288–293
Maeda F (1963) A consideration on the pathogenesis of solitary bone cyst (in Japanese). J Jpn Orthop Ass 37: 529–547
Maki S, Sakou T, Morimoto N, Shimizu T, Yoshinaga K, Akamine T, Nishi Y (1984) Treatment of tumorous condition with constant direct current (in Japanese). Seikei geka to saigai geka (J West Jpn Soc Orthop Traumat) 32:1199–1202
McKay DW, Nasson SS (1977) Treatment of unicameral bone cysts by subtotal resection without grafts. J Bone Joint Surg [Am] 59:515–519
Mönckeberg G (1904) Über Cystenbildung bei Ostitis fibrosa. Verh Dtsch Pathol Ges 7:232–241
Norman A, Schiffman M (1977) Simple bone cyst: factor of age dependency. Radiology 124:779–782
Scaglietti O, Marchetti PG, Bartolozzi P (1979) The effect of methylprednisolone acetate in the treatment of bone cysts: results of three-year follow-up. J Bone Joint Surg [Br] 61:200–204
Scaglietti O, Marchetti PG, Bartolozzi P (1982) Final results obtained in the treatment of bone cysts with methylprednisolone acetate (Depo-medrol) and a discussion of results achieved in other lesions. Clin Orthop 165:33–42
Sanerkin NG (1979) Old fibrin coagula and their ossification in simple bone cysts. J Bone Joint Surg [Br] 61:194–199
Virchow RLL (1876) Über die Bildung von Knochencysten. Acad Möer 369–381
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Chigira, M., Shimizu, T., Arita, S. et al. Radiological evidence of healing of a simple bone cyst after hole drilling. Arch. Orth. Traum. Surg. 105, 150–153 (1986). https://doi.org/10.1007/BF00433932
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DOI: https://doi.org/10.1007/BF00433932