Unicameral bone cysts: General characteristics and management controversies

Juan Pretell-Mazzini, Robert Francis Murphy, Indranil Kushare, John P. Dormans

Research output: Contribution to journalReview article

16 Scopus citations

Abstract

Unicameral bone cysts are benign bone lesions that are often asymptomatic and commonly develop in the proximal humerus and femur of skeletally immature patients. The etiology of these lesions remains unknown. Most patients present with a pathologic fracture, but these cysts can be discovered incidentally, as well. Radiographically, a unicameral bone cyst appears as a radiolucent lesion with cortical thinning and is centrally located within the metaphysis. Although diagnosis is frequently straightforward, management remains controversial. Because the results of various management methods are heterogeneous, no single method has emerged as the standard of care. New minimally invasive techniques involve cyst decompression with bone grafting and instrumentation. These techniques have yielded promising results, with low rates of complications and recurrence reported; however, prospective clinical trials are needed to compare these techniques with current evidence-based treatments.

Original languageEnglish (US)
Pages (from-to)295-303
Number of pages9
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume22
Issue number5
DOIs
StatePublished - May 2014

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ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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