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Bone Cysts Involving the Hip

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The Pediatric and Adolescent Hip

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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.

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Authors and Affiliations

  1. Pediatric and Orthopaedic Surgeon, Leeds Children Hospital, Leeds, UK

    Laura Deriu

  2. Clinical Director of Paediatric Trauma and Orthopaedic Surgery, Royal Manchester Children Hospital, Manchester University NHS Foundation Trust, Manchester, UK

    Sattar Alshryda

  3. Orthopaedic Surgery, Botnar Research Centre, University of Oxford, Oxford, UK

    James Wright

Authors
  1. Laura Deriu
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  2. Sattar Alshryda
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  3. James Wright
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Correspondence to Laura Deriu .

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Editors and Affiliations

  1. Clinical Director of Paediatric Trauma and Orthopaedic Surgery, Royal Manchester Children Hospital, Manchester University NHS Foundation Trust, Manchester, UK

    Sattar Alshryda

  2. Weill Cornell Medicine, Chief of Orthopaedic Surgery Sidra Medicine, Doha, Qatar

    Jason J. Howard

  3. Senior Attending Physician in Pediatric Orthopedic Surgery, Sidra Medicine, Doha, Qatar

    James S. Huntley

  4. Vanderbilt University Medical Center, Jeffrey Mast Chair of Orthopaedic Hip and Trauma Surgery, Nashville, TN, USA

    Jonathan G. Schoenecker

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Deriu, L., Alshryda, S., Wright, J. (2019). Bone Cysts Involving the Hip. In: Alshryda, S., Howard, J., Huntley, J., Schoenecker, J. (eds) The Pediatric and Adolescent Hip. Springer, Cham. https://doi.org/10.1007/978-3-030-12003-0_33

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