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Zeng J, Zhou M, Xu L, Zhu L, Yan Z, Wu W, Qiao Z. Curettage through a wide cortical window for treatment of a primary aneurysmal bone cyst of the patella. J Int Med Res 2021; 48:300060520947910. [PMID: 32811252 PMCID: PMC7513413 DOI: 10.1177/0300060520947910] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
A 27-year-old man presented with intermittent right knee pain for 1 year with no previous trauma. Physical examination revealed only tenderness over the patella. Typical fluid-fluid levels were visible on magnetic resonance imaging (MRI), which highly suggested aneurysmal bone cyst (ABC) of the patella. After removal of a large window of thin cortical bone, curettage and bone grafting followed by cerclage wiring was performed. Histology confirmed the initial diagnosis of primary ABC of the patella. At the final follow-up visit at 71 months after surgery, the patient had normal joint activity with no pain or evidence of recurrence. Previous publications indicated patellectomy in the initial series, but curettage and bone grafting have more recently provided excellent results and good graft incorporation in most cases, even for aggressive lesions. In our patient, thorough curettage and bone grafting through a wide cortical window followed by cerclage wiring fixation and figure-eight sutures was a successful treatment option for primary ABC of the patella without articular disruption.
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Affiliation(s)
- Jincai Zeng
- Department of Orthopaedics, Suzhou Ninth People's Hospital (Affiliated Wujiang Hospital of Nantong University), Suzhou, China
| | - Ming Zhou
- Department of Orthopaedics, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi, China
| | - Lihua Xu
- Department of Science and Education, Nantong No. 6 People's Hospital, Nantong, China
| | - Lifan Zhu
- Department of Orthopaedics, Suzhou Ninth People's Hospital (Affiliated Wujiang Hospital of Nantong University), Suzhou, China
| | - Zhanjun Yan
- Department of Orthopaedics, Suzhou Ninth People's Hospital (Affiliated Wujiang Hospital of Nantong University), Suzhou, China
| | - Weidong Wu
- Department of Orthopaedics, Suzhou Ninth People's Hospital (Affiliated Wujiang Hospital of Nantong University), Suzhou, China
| | - Zhenguo Qiao
- Department of Gastroenterology, Suzhou Ninth People's Hospital (Affiliated Wujiang Hospital of Nantong University), Suzhou, China
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Tripathy SK, Doki S, Behera G, Sable M. Giant Cell Tumor with Secondary Aneurysmal Bone Cyst of the Patella: A Case Report. Cureus 2019; 11:e5819. [PMID: 31754554 PMCID: PMC6827857 DOI: 10.7759/cureus.5819] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
A 15-year-old girl presented with pain and swelling on the anterior aspect of the right knee for one year. The radiological evaluation with x-rays and magnetic resonance imaging suggested a benign aggressive lesion of the right patella with a cortical breach. Core needle biopsy of the lesion revealed it to be a giant cell tumor (GCT). She was treated with total patellectomy and end-to-end repair of quadriceps to the patellar tendon. The histopathological report of the whole specimen revealed it to be a GCT with secondary aneurysmal bone cyst (ABC). After 24 months, she was asymptomatic, and there was no evidence of local recurrence or distal metastasis. An extensive review of the literature revealed only four cases of combined GCT with secondary ABC in the patella. Though rare, GCT with secondary ABC of the patella should be kept as a differential diagnosis for anterior knee pain and swelling in young patients. The diagnosis is solely based on histopathological findings. It is imperative to obtain a precise tissue diagnosis in the preoperative period to plan appropriate treatment.
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Affiliation(s)
- Sujit K Tripathy
- Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Sunil Doki
- Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Gayatri Behera
- Pathology, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Mukund Sable
- Pathology, All India Institute of Medical Sciences, Bhubaneswar, IND
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Aneurysmal bone cyst of the pelvis and extremities: Contemporary
management. INTERNATIONAL JOURNAL OF SURGERY-ONCOLOGY 2019. [DOI: 10.1097/ij9.0000000000000071] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Plaikner M, Gruber H, Henninger B, Gruber L, Kosiol J, Loizides A. Pathological fracture of the patella due to an atypical located aneurysmal bone cyst: verification by means of ultrasound-guided biopsy. Arch Orthop Trauma Surg 2016; 136:315-9. [PMID: 26714472 DOI: 10.1007/s00402-015-2396-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2015] [Indexed: 11/25/2022]
Abstract
INTRODUCTION We report on a rare case of an atypical located aneurysmal bone cyst (ABC) in the patella presenting with pathological fracture after trauma. MATERIALS AND METHODS Using all available diagnostic modalities and by means of ultrasound-guided core-needle biopsy an unclear and suspected pathological fractured cystic bone lesion in the patella of a young man could be further clarified. RESULTS The acquired images suggested the diagnosis of a pathological fractured aneurysmal bone cyst after mild trauma. However, due to the extraordinary location and clinical presentation the diagnosis was secured by means of ultrasound-guided biopsy through a small cortical gap. CONCLUSION As shown in this rare case of an atypical aneurysmal bone cyst of the patella, the quite seldom but sometimes possible ultrasound-guided biopsy of intraosseous lesions can help to achieve the diagnostic clarification and should also be taken into account as a non-standard procedure.
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Affiliation(s)
- Michaela Plaikner
- Medical University Innsbruck Department of Radiology, Anichstraße 35, Innsbruck, 6020, Austria
| | - Hannes Gruber
- Medical University Innsbruck Department of Radiology, Anichstraße 35, Innsbruck, 6020, Austria
| | - Benjamin Henninger
- Medical University Innsbruck Department of Radiology, Anichstraße 35, Innsbruck, 6020, Austria
| | - Leonhard Gruber
- Medical University Innsbruck Department of Radiology, Anichstraße 35, Innsbruck, 6020, Austria
| | - Juana Kosiol
- Medical University Innsbruck Department of Trauma Surgery, Anichstrasse 35, 6020, Innsbruck, Austria
| | - Alexander Loizides
- Medical University Innsbruck Department of Radiology, Anichstraße 35, Innsbruck, 6020, Austria.
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Yu X, Guo R, Fan C, Liu H, Zhang B, Nie T, Tu YI, Dai M. Aneurysmal bone cyst secondary to a giant cell tumor of the patella: A case report. Oncol Lett 2016; 11:1481-1485. [PMID: 26893764 DOI: 10.3892/ol.2016.4080] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Accepted: 10/21/2015] [Indexed: 12/17/2022] Open
Abstract
The patella is an unusual location for primary and metastatic bone tumors to develop. The most frequently encountered primary osteolytic lesions at the patella include giant cell tumors of the bone (GCT), chondroblastoma and aneurysmal bone cysts (ABC). However, the presentation of an ABC originating secondary to a GCT at the patella is rare. The present study describes such a case in a 46-year-old female. The differential diagnosis of the condition was extensive. The patient underwent curettage and the addition of bone cement to fill the defect. Pathological analysis of the resected tissue demonstrated that the lesion was consistent with an ABC forming secondary to a GCT. A 3-month follow-up was completed subsequent to the surgery, with a computed tomography scan demonstrating no evidence of recurrence. However, frequent and continuous observations of the patient following diagnosis are planned in order to evaluate the long-term efficacy of the surgical treatment. To the best of our knowledge, the present study describes the third reported case in the literature of this rare, double synchronous, benign tumor located at the patella.
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Affiliation(s)
- Xiaolong Yu
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Artificial Joints Engineering and Technology Research Center of Jiangxi Province, Nanchang, Jiangxi 330006, P.R. China
| | - Runsheng Guo
- Multidisciplinary Therapy Center of Musculoskeletal Tumor, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China
| | - Congliang Fan
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Artificial Joints Engineering and Technology Research Center of Jiangxi Province, Nanchang, Jiangxi 330006, P.R. China
| | - Hucheng Liu
- Multidisciplinary Therapy Center of Musculoskeletal Tumor, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China
| | - Bin Zhang
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Artificial Joints Engineering and Technology Research Center of Jiangxi Province, Nanchang, Jiangxi 330006, P.R. China
| | - Tao Nie
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Artificial Joints Engineering and Technology Research Center of Jiangxi Province, Nanchang, Jiangxi 330006, P.R. China
| | - Y I Tu
- Department of Pathology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China
| | - Min Dai
- Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Artificial Joints Engineering and Technology Research Center of Jiangxi Province, Nanchang, Jiangxi 330006, P.R. China
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Low SF, Hanafiah M, Nurismah MI, Suraya A. Challenges in imaging and histopathological assessment of a giant cell tumour with secondary aneurysmal cyst in the patella. BMJ Case Rep 2013; 2013:bcr-2013-200790. [PMID: 24057334 DOI: 10.1136/bcr-2013-200790] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
The patella is an uncommon site for all primary and metastatic bone tumours and primary intra-osseous tumours of the patella are very rare. A majority of the patella tumours are benign. We report a patient with a sudden onset swelling and pain of the right knee following a staircase fall. The plain radiograph showed an expansile multiseptated patella lesion and it was further assessed with an MRI. The radiological findings and the initial histopathological features from a limited sample were suggestive of a primary aneurysmal bone cyst. However, the final histopathological diagnosis from a more adequate specimen was a giant cell tumour with a secondary aneurysmal bone cyst.
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Affiliation(s)
- Soo Fin Low
- Department of Radiology, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia
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Traoré A, Doukouré B, Sie Essoh JB, Mobiot C, Soumaro K. Primary aneurysmal bone cyst of the patella: a case report. Orthop Traumatol Surg Res 2011; 97:221-4. [PMID: 21310678 DOI: 10.1016/j.otsr.2010.08.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2010] [Revised: 07/05/2010] [Accepted: 08/26/2010] [Indexed: 02/02/2023]
Abstract
An aneurysmal bone cyst is rare in the patella. We report the case of a 28-year-old woman who presented with chronic pain and no previous trauma history. Treatment included curettage of the cyst and filling with a corticocancellous graft. Thirty-one months after surgery, the knee was mobile and painless and graft incorporation was good.
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Affiliation(s)
- A Traoré
- Department of orthopaedics and reconstructive surgery, Yopougon teaching hospital center, Abidjan, Côte d'Ivoire.
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Balke M, Dedy N, Mueller-Huebenthal J, Liem D, Hardes J, Hoeher J. Uncommon cause for anterior knee pain - Aggressive aneurysmal bone cyst of the patella. BMC Sports Sci Med Rehabil 2010; 2:9. [PMID: 20359343 PMCID: PMC2853506 DOI: 10.1186/1758-2555-2-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2009] [Accepted: 04/01/2010] [Indexed: 11/18/2022]
Abstract
A 56-year-old man presented with a two month history of increasing anterior knee pain without previous trauma. As usual we recommended physiotherapy with stretching exercises of the quadriceps muscle. Since symptoms did not improve after 6 weeks MRI was performed. Surprisingly a hyperintense lobulated mass of the patella with small fluid-filled cavities at the inferior pole was revealed. We performed an open biopsy to exclude any malignancy and diagnosed an aneurysmal bone cyst. Further examination with CT scans showed an aggressive behaviour with cortical breakthrough. We performed an intralesional curettage with additional high-speed burring and bone cement packing. Sixteen months later the patient was free from any complaints and without signs of local recurrence. Primary bone tumors of the patella are extremely rare and occurrence of aneurysmal bone cysts in this localization is very uncommon. This case report indicates that although anterior knee pain is a very frequent and usually harmless symptom, it is essential to consider that it might also be caused by more severe disorders such as bone tumors.
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Affiliation(s)
- Maurice Balke
- Department of Trauma and Orthopedic Surgery, University of Witten-Herdecke, Cologne-Merheim Medical Center, Ostmerheimer Str, 200, 51109 Cologne, Germany.
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Nydick JA, Herman MJ, de Chadarévian JP. An 11-year-old boy with a patella fracture. Clin Orthop Relat Res 2009; 467:3365-70. [PMID: 19399564 PMCID: PMC2772927 DOI: 10.1007/s11999-009-0856-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2008] [Accepted: 04/09/2009] [Indexed: 01/31/2023]
Affiliation(s)
- Jason A. Nydick
- Department of Orthopaedic Surgery, Philadelphia College of Osteopathic Medicine, 4170 City Avenue, Philadelphia, PA 19131 USA
| | - Martin J. Herman
- Department of Orthopaedic Surgery, Drexel University College of Medicine and St. Christopher’s Hospital for Children, Philadelphia, PA USA
| | - Jean-Pierre de Chadarévian
- Department of Pathology and Laboratory Medicine, Drexel University College of Medicine and St. Christopher’s Hospital for Children, Philadelphia, PA USA
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