Treatment of Pathological Fracture Following Unicameral Bone Cyst in Unusual Location of Proximal Radius: Rare Case Report
Treatment of Unicameral Bone Cyst in Unusual Location of Proximal Radius: Rare Case Report
Abstract
Unicameral bone cysts (UBCs) are benign bone lesions predominantly affecting children and teenagers. This case report highlights the rare occurrence of a simple bone cyst in the proximal radius in a 29-year-old woman with a pathological fracture. Although the proximal radius is an uncommon site for UBC occurrence, the surgical approach required special care due to the complex anatomical structures near the fracture site. The surgical management of UBCs aims to prevent or manage pathological fractures, facilitate cyst healing, prevent recurrence, and reduce the risk of refracture. Understanding the treatment options and involving patients in the decision-making process are crucial for achieving the best possible results in managing UBCs with pathological fractures. The decision to pursue nonoperative or operative treatment should be made in consultation with healthcare professionals, considering factors such as clinical presentation, radiological features, and symptoms.
Keywords:
Unicameral Bone Cyst, Simple Bone Cyst, UBC, Proximal Radius, Bone MassDOI
https://doi.org/10.37022/wjcmpr.v5i3.266References
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2. Boseker EH, Bickel WH, Dahlin DC (1968) A clinicopathologic study of simple unicameral bone cysts. Surg Gynecol Obstet 127(3):550–560
3. Cohen J. Etiology of simple bone cyst. J Bone Joint Surg Am. 1970; 52(7):1493–1497Neer CS, Francis KC, Marcove RC, Terz J, Carbonara PN (1966) Treatment of unicameral bone cyst. A follow-up study of one hundred seventy-five cases. J Bone Jt Surg Am 48(4): 731–745
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5. Dormans JP, Sankar WN, Moroz L, Erol B. Percutaneous intramedullary decompression, curettage, and grafting with medical-grade calcium sulfate pellets for unicameral bone cysts in children: a new minimally invasive technique. J Pediatr Orthop. 2005;25(6):804–11
6. Urakawa H, Tsukushi S, Hosono K, Sugiura H, Yamada K, Yamada Y, Kozawa E, Arai E, Futamura N, Ishiguro N, Nishida Y. Clinical factors affecting pathological fracture and healing of unicameral bone cysts. BMC Musculoskelet Disord. 2014;15:159
7. Jaffe H, Lichtenstein L (1942) Solitary unicameral bone cystwith emphasis on the roentgen picture the pathologic appearance and the pathogenesis. Arch Surg 44:1004–1025
8. Flont P, Kolacinska-Flont M, Niedzielski K. Factors predictive of positive response to steroid therapy in simple bone cysts: an old trick that still works. Int Orthop. 2013;37(8):1519–25.
9. Rougraff BT, Kling TJ. Treatment of active unicameral bone cysts with percutaneous injection of demineralized bone matrix and autogenous bone marrow. J Bone Joint Surg Am. 2002;84-A(6):921–9
10. CASE REPORT Unusually large and aggressive traumatic bone cysts of the jaws – a series of five cases, Bhattacharyya1, M.N. Islam1, H.K. Chehal2, J.D. Reith3, S. Islam4, R. Fernandes5, S.J. McNally6, D.M. Cohen1, Oral Surgery 7 (Issue Supplement S1) (2014) Version of Record online: 1 APR.
11. Cohen J. Simple bone cysts: studies of cyst fluid in six cases with a theory of pathogenesis. JBJS. 1960;42(4):609-16.
12. M. Chigira, S. Maehara, S. Arita, E. Udagawa, The aetiology and treatment of simple bone cysts, Bone & Joint Journal 65 (5) (1983) 633–637.
13. Neer CS, Francis KC, Marcove RC, Terz J, Carbonara PN (1966) Treatment of unicameral bone cyst. A follow-up study of one hundred seventy-five cases. J Bone Jt Surg Am 48(4): 731–745
14. Capanna R, Dal MA, Gitelis S, Campanacci M (1982) The natural history of unicameral bone cyst after steroid injection. Clin Orthop Relat Res 166:204–211
15. G. Mik, A. Arkader, A. Manteghi, J.P. Dormans, Results of a minimally invasive technique for treatment of unicameral bone cysts, Clin. Orthop. Relat. Res. 467 (11) (2009) 2949.
16. J. Pretell-Mazzini, R.F. Murphy, I. Kushare, J.P. Dormans, Unicameral bone cysts: general characteristics and management controversies, J. Am. Acad. Orthop. Surg. 22 (5) (2014) 295–303.
17. Hagmann S, Eichhorn F, Moradi B, Gotterbarm T, Dreher T, Lehner B, et al. Mid and long term clinical results of surgical therapy in unicameral bone cysts. BMC Musculoskelet Disord 2011;12:281.
18. Sung AD, Anderson ME, Zurakowski D, Hornicek FJ, Gebhardt MC. Unicameral bone cyst: a retrospective study of three surgical treatments. Clin Orthop Relat Res 2008;466:2519-26.
19. Tey IK, Mahadev A, Lim KB, Lee EH, Nathan SS. Active unicameral bone cysts in the upper limb are at greater risk of fracture. Journal of Orthopaedic Surgery. 2009;17:157–60.
20. Yilmaz G, Aksoy MC, Alanay A, Yazici M, Alpaslan AM. Treatment of simple bone cysts with methylprednisolone acetate in children Acta Orthop Traumatol Turc. 2005. pp. 411–15
21. Alyas F, Tirabosco R, Cannon S, Saifuddin A. “Fallen fragment sign” in Langerhans' cell histiocytosis. Clin Radiol. 2008;63(1):92-6.
22. Inozu E, Horoz U, Seven E, Ozakpinar H, Tellioglu A.Fracture of phalanx from simple bone cyst: A rare bone lesion in the hand. Hand and Microsurgery.2015.
23. Noordin S, Allana S, Umer M, Jamil M, Hilal K, Uddin N. Unicameral bone cysts: Current concepts. Ann Med Surg (Lond). 2018 Jun 28;34:43-49. doi: 10.1016/j.amsu.2018.06.005. PMID: 30224948; PMCID: PMC6138978.
24. G. Mik, A. Arkader, A. Manteghi, J.P. Dormans, Results of a minimally invasive technique for treatment of unicameral bone cysts, Clin. Orthop. Relat. Res. 467 (11) (2009) 2949
25. Zamzam MM, Abak AA, Bakarman KA, Al-Jassir FF, Khoshhal KI, Zamzami MM. Efficacy of aspiration and autogenous bone marrow injection in the treatment of simple bone cysts. Int Orthop. 2009;33(5):1353–8. 28. Kokavec M, Fristakova M, Polan P, Bialik GM. Surgical options for the treatment of simple bone cyst in children and adolescents. Isr Med Assoc J. 2010;12(2):87–90.
26. Cho HS, Seo SH, Park SH, Park JH, Shin DS, Park IH. Minimal invasive surgery for unicameral bone cyst using demineralized bone matrix: a case series. BMC Musculoskelet Disord. 2012;13:134.
27. Hou HY, Wu K, Wang CT, Chang SM, Lin WH, Yang RS. Treatment of unicameral bone cyst: a comparative study of selected techniques. J Bone Joint Surg Am. 2010;92(4):855–62
28. Baghdadi, S., & Arkader, A. (2021). Unicameral Bone Cysts: Treatment Rationale and Approach: Current Concept Review. Journal of the Pediatric Orthopaedic Society of North America, 3(2). https://doi.org/10.55275/JPOSNA-2021-267
2. Boseker EH, Bickel WH, Dahlin DC (1968) A clinicopathologic study of simple unicameral bone cysts. Surg Gynecol Obstet 127(3):550–560
3. Cohen J. Etiology of simple bone cyst. J Bone Joint Surg Am. 1970; 52(7):1493–1497Neer CS, Francis KC, Marcove RC, Terz J, Carbonara PN (1966) Treatment of unicameral bone cyst. A follow-up study of one hundred seventy-five cases. J Bone Jt Surg Am 48(4): 731–745
4. Fechner RE, Mills SE. Tumors of bones and joints, Armed Forces Institute For Pathology, 1993, Washington DC, 173-186
5. Dormans JP, Sankar WN, Moroz L, Erol B. Percutaneous intramedullary decompression, curettage, and grafting with medical-grade calcium sulfate pellets for unicameral bone cysts in children: a new minimally invasive technique. J Pediatr Orthop. 2005;25(6):804–11
6. Urakawa H, Tsukushi S, Hosono K, Sugiura H, Yamada K, Yamada Y, Kozawa E, Arai E, Futamura N, Ishiguro N, Nishida Y. Clinical factors affecting pathological fracture and healing of unicameral bone cysts. BMC Musculoskelet Disord. 2014;15:159
7. Jaffe H, Lichtenstein L (1942) Solitary unicameral bone cystwith emphasis on the roentgen picture the pathologic appearance and the pathogenesis. Arch Surg 44:1004–1025
8. Flont P, Kolacinska-Flont M, Niedzielski K. Factors predictive of positive response to steroid therapy in simple bone cysts: an old trick that still works. Int Orthop. 2013;37(8):1519–25.
9. Rougraff BT, Kling TJ. Treatment of active unicameral bone cysts with percutaneous injection of demineralized bone matrix and autogenous bone marrow. J Bone Joint Surg Am. 2002;84-A(6):921–9
10. CASE REPORT Unusually large and aggressive traumatic bone cysts of the jaws – a series of five cases, Bhattacharyya1, M.N. Islam1, H.K. Chehal2, J.D. Reith3, S. Islam4, R. Fernandes5, S.J. McNally6, D.M. Cohen1, Oral Surgery 7 (Issue Supplement S1) (2014) Version of Record online: 1 APR.
11. Cohen J. Simple bone cysts: studies of cyst fluid in six cases with a theory of pathogenesis. JBJS. 1960;42(4):609-16.
12. M. Chigira, S. Maehara, S. Arita, E. Udagawa, The aetiology and treatment of simple bone cysts, Bone & Joint Journal 65 (5) (1983) 633–637.
13. Neer CS, Francis KC, Marcove RC, Terz J, Carbonara PN (1966) Treatment of unicameral bone cyst. A follow-up study of one hundred seventy-five cases. J Bone Jt Surg Am 48(4): 731–745
14. Capanna R, Dal MA, Gitelis S, Campanacci M (1982) The natural history of unicameral bone cyst after steroid injection. Clin Orthop Relat Res 166:204–211
15. G. Mik, A. Arkader, A. Manteghi, J.P. Dormans, Results of a minimally invasive technique for treatment of unicameral bone cysts, Clin. Orthop. Relat. Res. 467 (11) (2009) 2949.
16. J. Pretell-Mazzini, R.F. Murphy, I. Kushare, J.P. Dormans, Unicameral bone cysts: general characteristics and management controversies, J. Am. Acad. Orthop. Surg. 22 (5) (2014) 295–303.
17. Hagmann S, Eichhorn F, Moradi B, Gotterbarm T, Dreher T, Lehner B, et al. Mid and long term clinical results of surgical therapy in unicameral bone cysts. BMC Musculoskelet Disord 2011;12:281.
18. Sung AD, Anderson ME, Zurakowski D, Hornicek FJ, Gebhardt MC. Unicameral bone cyst: a retrospective study of three surgical treatments. Clin Orthop Relat Res 2008;466:2519-26.
19. Tey IK, Mahadev A, Lim KB, Lee EH, Nathan SS. Active unicameral bone cysts in the upper limb are at greater risk of fracture. Journal of Orthopaedic Surgery. 2009;17:157–60.
20. Yilmaz G, Aksoy MC, Alanay A, Yazici M, Alpaslan AM. Treatment of simple bone cysts with methylprednisolone acetate in children Acta Orthop Traumatol Turc. 2005. pp. 411–15
21. Alyas F, Tirabosco R, Cannon S, Saifuddin A. “Fallen fragment sign” in Langerhans' cell histiocytosis. Clin Radiol. 2008;63(1):92-6.
22. Inozu E, Horoz U, Seven E, Ozakpinar H, Tellioglu A.Fracture of phalanx from simple bone cyst: A rare bone lesion in the hand. Hand and Microsurgery.2015.
23. Noordin S, Allana S, Umer M, Jamil M, Hilal K, Uddin N. Unicameral bone cysts: Current concepts. Ann Med Surg (Lond). 2018 Jun 28;34:43-49. doi: 10.1016/j.amsu.2018.06.005. PMID: 30224948; PMCID: PMC6138978.
24. G. Mik, A. Arkader, A. Manteghi, J.P. Dormans, Results of a minimally invasive technique for treatment of unicameral bone cysts, Clin. Orthop. Relat. Res. 467 (11) (2009) 2949
25. Zamzam MM, Abak AA, Bakarman KA, Al-Jassir FF, Khoshhal KI, Zamzami MM. Efficacy of aspiration and autogenous bone marrow injection in the treatment of simple bone cysts. Int Orthop. 2009;33(5):1353–8. 28. Kokavec M, Fristakova M, Polan P, Bialik GM. Surgical options for the treatment of simple bone cyst in children and adolescents. Isr Med Assoc J. 2010;12(2):87–90.
26. Cho HS, Seo SH, Park SH, Park JH, Shin DS, Park IH. Minimal invasive surgery for unicameral bone cyst using demineralized bone matrix: a case series. BMC Musculoskelet Disord. 2012;13:134.
27. Hou HY, Wu K, Wang CT, Chang SM, Lin WH, Yang RS. Treatment of unicameral bone cyst: a comparative study of selected techniques. J Bone Joint Surg Am. 2010;92(4):855–62
28. Baghdadi, S., & Arkader, A. (2021). Unicameral Bone Cysts: Treatment Rationale and Approach: Current Concept Review. Journal of the Pediatric Orthopaedic Society of North America, 3(2). https://doi.org/10.55275/JPOSNA-2021-267
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2023-06-13
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Treatment of Pathological Fracture Following Unicameral Bone Cyst in Unusual Location of Proximal Radius: Rare Case Report: Treatment of Unicameral Bone Cyst in Unusual Location of Proximal Radius: Rare Case Report. World Journal of Current Med and Pharm Research [Internet]. 2023 Jun. 13 [cited 2025 Oct. 14];5(3):62-6. Available from: https://www.wjcmpr.org/index.php/journal/article/view/266
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How to Cite
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Treatment of Pathological Fracture Following Unicameral Bone Cyst in Unusual Location of Proximal Radius: Rare Case Report: Treatment of Unicameral Bone Cyst in Unusual Location of Proximal Radius: Rare Case Report. World Journal of Current Med and Pharm Research [Internet]. 2023 Jun. 13 [cited 2025 Oct. 14];5(3):62-6. Available from: https://www.wjcmpr.org/index.php/journal/article/view/266
