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Bone Cysts Involving the Hip

  • Laura DeriuEmail author
  • Sattar Alshryda
  • James Wright
Chapter

Abstract

Simple (unicameral) bone cyst (SBC) and aneurysmal bone cyst (ABC) are common benign bone tumors in children and adolescents. Although non-cancerous, they can cause substantive physical and psychosocial problems. Particularly for ABC, they mimic malignant tumors causing understandable anxiety and fear. As such, early and accurate diagnosis is essential. Primarily lytic lesions, they weaken the involved bones which predisposes to pathologic fractures, even with minimal trauma. Children are often restricted from sport and some daily living activities because of the fear of these fractures. Bone cysts involving the hip in children have special importance. Being a weight bearing joint, fractures in this area are a genuine risk, with concomitant occurrence of avascular necrosis being a concern. There are surgical challenges related to the pathoanatomy of these lesions, with only few surgical implants that can reliably stabilise the proximal femur without causing injury to the growth plate. This chapter provides an overview of both SBC and ABC, emphasizing currently accepted treatments and reported outcomes.

Keywords

Unicameral bone cyst Simple bone cyst Aneurysmal bone cyst biopsy curettage pathologic fracture 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Pediatric and Orthopaedic SurgeonLeeds Children HospitalLeedsUK
  2. 2.Clinical Director of Paediatric Trauma and Orthopaedic SurgeryRoyal Manchester Children Hospital, Manchester University NHS Foundation TrustManchesterUK
  3. 3.Orthopaedic Surgery, Botnar Research CentreUniversity of OxfordOxfordUK

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