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[PMID]:29182112
[Au] Autor:Rapp M; Grauel F; Wessel LM; Illing P; Kaiser MM
[Ti] Título:Treatment outcome in 60 children with pathological fractures of the humerus caused by juvenile or aneurysmal bone cysts.
[So] Source:Acta Orthop Belg;82(4):723-729, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:The treatment of pathological fractures of the humerus caused by juvenile or aneurysmal bone cysts (JBC/ABC) should be a single approach with a high success rate and low complication rate. This study evaluates how day by day treatment concepts fulfil these aims. Children below 15 years of age with a pathological fracture of the humerus caused by a JBC or ABC between 01.01.2001 and 31.12.2010, were investigated by chart review in four major paediatric trauma centres. Age, gender, fracture localisation, X-ray findings, treatment and outcome - assessed by the Capanna classification (I to IV), were analysed. 60 children [41male, 19 female; mean age: 9 years (4-14 years)] with 43 JBC and 12 ABC were included as well as five cysts, who could not be classified definitively. First treatment was non-operatively in 33 children. Of these 27 cysts did not improve; likewise the supportive installation of cortisone in six patients did not change the outcome. The first treatment consisted of elastic stable intramedullary in 13 children; up to three nail exchanges included. But only six of these reached (nearly) complete resolution (I/II). Overall the combined mechanical and biological treatment with curettage, elastic stable intramedullary nailing, (artificial) bone substitute and in some cases growth factors was performed as the 1st-line treatment in nine patients and further in 2nd or 3rd-line treatments in 13 humeral cysts. More than half of these reached a complete or nearly complete resolution of the cyst (12x I, 5x II, 1x III, 4x IV). Major complications in all operated patients were six nails not removable and two children with upper extremities length differences. Healing rates are low for non-operative treatment, elastic stable intramedullary nailing alone and by using cortisone for cysts resolution in pathological fractures of the humerus. Data support a combined mechanical and biological treatment with curettage, elastic stable intramedullary nailing, (artificial) bone substitute and the use of growth factors.
[Mh] Termos MeSH primário: Anti-Inflamatórios/uso terapêutico
Cistos Ósseos Aneurismáticos/terapia
Substitutos Ósseos/uso terapêutico
Cortisona/uso terapêutico
Fixação Intramedular de Fraturas/métodos
Fraturas Espontâneas/terapia
Fraturas do Úmero/terapia
[Mh] Termos MeSH secundário: Adolescente
Cistos Ósseos/complicações
Cistos Ósseos/diagnóstico por imagem
Cistos Ósseos/terapia
Cistos Ósseos Aneurismáticos/complicações
Cistos Ósseos Aneurismáticos/diagnóstico por imagem
Pinos Ortopédicos
Criança
Pré-Escolar
Tratamento Conservador
Feminino
Consolidação da Fratura
Fraturas Espontâneas/diagnóstico por imagem
Fraturas Espontâneas/etiologia
Seres Humanos
Fraturas do Úmero/diagnóstico por imagem
Fraturas do Úmero/etiologia
Injeções Intralesionais
Masculino
Radiografia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents); 0 (Bone Substitutes); V27W9254FZ (Cortisone)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28614252
[Au] Autor:Kim JR; Wang SI
[Ad] Endereço:Department of Orthopaedics Surgery, Chonbuk National University Medical School, Research Institute for Endocrine Sciences and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea.
[Ti] Título:Suprascapular nerve entrapment caused by an intraosseous ganglion of the scapula: A case report.
[So] Source:Medicine (Baltimore);96(24):e7167, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Suprascapular nerve compression is a rare but important entity that is often missed in clinical practice. Nerve dysfunction caused by an intraosseous ganglion of the glenoid is extremely rare, to the best of our knowledge, only 1 case of suprascapular nerve entrapment due to an intraosseous ganglion cyst has been reported previously in the published literature. PATIENT CONCERNS: We report a 61-year-old woman who had complained right shoulder pain that lasted over 3 years which was exacerbated by overhead activities. DIAGNOSES: We diagnosed it as suprascapular nerve entrapment at the spinoglenoid notch caused by an intraosseous ganglion of the scapula. INTERVENTIONS: Plain X-ray, computed tomography, magnetic resonance imaging (MRI), and electromyography (EMG) of the shoulder. OUTCOMES: She undertook surgical excision with curettage of the cyst. The infraspinatus fossa dull pain subsided immediately after surgery. No recurrence of the cystic lesion was noted on follow-up plain radiograph and MRI performed 18 months postoperatively. Shoulder external rotation strength was graded as 5 of 5. LESSIONS: Intraosseous ganglion of the glenoid can cause compression of the suprascapular nerve when the lesion is expanded toward the spinoglenoid notch. The EMG study confirmed compression of the suprascapular nerve. The patient showed clinical and radiologic improvement after surgical decompression with no recurrence.
[Mh] Termos MeSH primário: Cistos Ósseos/complicações
Síndromes de Compressão Nervosa/etiologia
Escápula
Dor de Ombro/etiologia
[Mh] Termos MeSH secundário: Cistos Ósseos/diagnóstico por imagem
Cistos Ósseos/fisiopatologia
Cistos Ósseos/cirurgia
Feminino
Seres Humanos
Meia-Idade
Síndromes de Compressão Nervosa/diagnóstico por imagem
Síndromes de Compressão Nervosa/fisiopatologia
Síndromes de Compressão Nervosa/cirurgia
Escápula/diagnóstico por imagem
Escápula/cirurgia
Dor de Ombro/diagnóstico por imagem
Dor de Ombro/fisiopatologia
Dor de Ombro/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007167


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[PMID]:28506249
[Au] Autor:Rosario MS; Yamamoto N; Hayashi K; Takeuchi A; Kimura H; Miwa S; Higuchi T; Inatani H; Abe K; Taniguchi Y; Aiba H; Tsuchiya H
[Ad] Endereço:Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Sciences, 13-1 Takara-machi, Kanazawa, 920-8640, Ishikawa, Japan.
[Ti] Título:An unusual case of proximal humeral simple bone cyst in an adult from secondary cystic change.
[So] Source:World J Surg Oncol;15(1):102, 2017 May 15.
[Is] ISSN:1477-7819
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Simple bone cysts (SBC) have been documented to occur in adults with closed physeal plates, most commonly affecting the calcaneus in this patient subset. Although most authors theorize an association to trauma, etiology of simple bone cysts remains an enigma up to now. CASE PRESENTATION: A 26-year-old kickboxing coach sought consult for a painful right shoulder which on radiographs and magnetic resonance (MR) imaging showed a proximal humeral lesion with signs of ossification. The patient was lost to follow-up but again sought consult after 3 years for the recurring complaint. On repeat radiographs, computed tomography (CT) scan, and MR images, tumor enlargement with cystic findings typical of simple bone cyst were documented. Diagnostic aspiration of the lesion was firstly done, revealing straw-colored fluid. The patient then underwent intralesional curettage with alpha-tricalcium phosphate cement reconstruction of the lytic defect. No perioperative complications were incurred, and on latest follow-up at 3 years postoperatively, Musculoskeletal Tumor Society (MSTS) and visual analog scale (VAS) pain scores were 30/30 and 0/10, respectively. CONCLUSIONS: The authors believe their report provides support to a possible association to trauma of simple bone cysts occurring in the adult population with closed physes and suggest this subset of patients may require a different treatment approach from that for juvenile simple bone cysts.
[Mh] Termos MeSH primário: Cistos Ósseos/patologia
Úmero/patologia
[Mh] Termos MeSH secundário: Adulto
Cistos Ósseos/diagnóstico por imagem
Cistos Ósseos/cirurgia
Curetagem
Seres Humanos
Úmero/diagnóstico por imagem
Úmero/cirurgia
Imagem por Ressonância Magnética
Masculino
Prognóstico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170517
[St] Status:MEDLINE
[do] DOI:10.1186/s12957-017-1166-8


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[PMID]:28434960
[Au] Autor:Das KK; Gosal JS; Singh S; Mehrotra A; Jaiswal A; Jaiswal S; Kumar R
[Ad] Endereço:Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. Electronic address: drkuntalkantidas@gmail.com.
[Ti] Título:Solitary Cysticercal Cyst Inside the Blake's Pouch Remnant of Mega Cisterna Magna with Associated Aqueductal Stenosis: Clinical and Management Implications.
[So] Source:World Neurosurg;102:693.e1-693.e5, 2017 Jun.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Intraventricular and subarachnoid forms represent the relatively complex, albeit uncommon, manifestations of central nervous system involvement by cysticercal cysts. Cysticercal encystation inside the Blake's pouch remnant of mega cisterna magna (MCM) remains an extremely rare clinical scenario that, to the best of our knowledge, has not been reported previously. CASE PRESENTATION: A 12-year-old boy presented with acute worsening and subsequent spontaneous resolution of his compensated hydrocephalus. Neuroimaging revealed features consistent with a MCM with septum inside, indicating remnants of the embryologic fourth ventricular diverticulum, the Blake's pouch. It also revealed a free-floating intact cysticercal cyst inside the MCM limited by the septum with aqueductal stenosis. The spontaneous clinicoradiologic resolution of hydrocephalus raised the possibility of ball valve obstruction of the cerebrospinal fluid outflow, i.e., Bruns syndrome. We successfully treated this patient with endoscopic extraction of the viable cysticercal cyst through a suboccipital burrhole. CONCLUSIONS: The clinical scenario presented here has not been described previously. Endoscopic cyst removal in such a situation is an effective and low-risk procedure that obviates the further need for antihelminthic medications.
[Mh] Termos MeSH primário: Cistos Ósseos/cirurgia
Infecções Parasitárias do Sistema Nervoso Central/cirurgia
Cisterna Magna/cirurgia
Neurocisticercose/cirurgia
[Mh] Termos MeSH secundário: Animais
Cistos Ósseos/patologia
Infecções Parasitárias do Sistema Nervoso Central/patologia
Criança
Constrição Patológica/patologia
Constrição Patológica/cirurgia
Seres Humanos
Masculino
Neuroendoscopia/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170425
[St] Status:MEDLINE


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[PMID]:28348071
[Au] Autor:Claessen KMJA; Canete AN; de Bruin PW; Pereira AM; Kloppenburg M; Kroon HM; Biermasz NR
[Ad] Endereço:Departments of Endocrinology & Metabolic Diseases and Center for Endocrine Tumors Leiden K.M.J.A.Claessen@lumc.nl.
[Ti] Título:Acromegalic arthropathy in various stages of the disease: an MRI study.
[So] Source:Eur J Endocrinol;176(6):779-790, 2017 Jun.
[Is] ISSN:1479-683X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Arthropathy is a prevalent and invalidating complication of acromegaly with a characteristic radiographic phenotype. We aimed to further characterize cartilage and bone abnormalities associated with acromegalic arthropathy using magnetic resonance imaging (MRI). METHODS: Twenty-six patients (23% women, mean age 56.8 ± 13.4 years), with active ( = 10) and controlled acromegaly ( = 16) underwent a 3.0 T MRI of the right knee. Osteophytes, cartilage defects, bone marrow lesions and subchondral cysts were assessed by the Knee Osteoarthritis Scoring System (KOSS) method. Cartilage thickness and cartilage T2 relaxation times, in which higher values reflect increased water content and/or structural changes, were measured. Twenty-five controls (52% women, mean age: 59.6 ± 8.0 years) with primary knee OA were included for comparison. RESULTS: Both in active and controlled acromegaly, structural OA defects were highly prevalent, with thickest cartilage and highest cartilage T2 relaxation times in the active patients. When compared to primary OA subjects, patients with acromegaly seem to have less cysts (12% vs 48%, = 0.001) and bone marrow lesions (15% vs 80%, = 0.006), but comparable prevalence of osteophytosis and cartilage defects. Patients with acromegaly had 31% thicker total joint cartilage ( < 0.001) with higher cartilage T2 relaxation times at all measured sites than primary OA subjects ( < 0.01). CONCLUSIONS: Patients with active acromegaly have a high prevalence of structural OA abnormalities in combination with thick joint cartilage. In addition, T2 relaxation times of cartilage are high in active patients, indicating unhealthy cartilage with increased water content, which is (partially) reversible by adequate treatment. Patients with acromegaly have a different distribution of structural OA abnormalities visualized by MRI than primary OA subjects, especially of cartilage defects.
[Mh] Termos MeSH primário: Acromegalia/fisiopatologia
Artropatias/etiologia
Articulação do Joelho/diagnóstico por imagem
[Mh] Termos MeSH secundário: Acromegalia/patologia
Acromegalia/terapia
Adulto
Idoso
Cistos Ósseos/diagnóstico por imagem
Cistos Ósseos/epidemiologia
Cistos Ósseos/etiologia
Cistos Ósseos/prevenção & controle
Doenças da Medula Óssea/diagnóstico por imagem
Doenças da Medula Óssea/epidemiologia
Doenças da Medula Óssea/etiologia
Doenças da Medula Óssea/prevenção & controle
Cartilagem/diagnóstico por imagem
Cartilagem/patologia
Doenças das Cartilagens/diagnóstico por imagem
Doenças das Cartilagens/epidemiologia
Doenças das Cartilagens/etiologia
Doenças das Cartilagens/prevenção & controle
Estudos Transversais
Feminino
Seguimentos
Seres Humanos
Artropatias/diagnóstico por imagem
Artropatias/epidemiologia
Artropatias/prevenção & controle
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Países Baixos/epidemiologia
Osteoartrite/diagnóstico por imagem
Osteoartrite/patologia
Projetos Piloto
Prevalência
Indução de Remissão
Índice de Gravidade de Doença
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170329
[St] Status:MEDLINE
[do] DOI:10.1530/EJE-16-1073


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[PMID]:28300344
[Au] Autor:Zhang Y; Li JZ; Lu XC; Zhang Y; Zhang HS; Shi HL; Lei Z; Feng G; Fu WP
[Ad] Endereço:Department of Orthopaedics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
[Ti] Título:Intramedullary Nailing Combined with Bone Grafting for Benign Lesions of the Proximal Femur.
[So] Source:Orthop Surg;9(1):97-102, 2017 Feb.
[Is] ISSN:1757-7861
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the effectiveness of intramedullary nailing for benign lesions of the proximal femur. METHOD: A retrospective analysis was carried out on 68 cases of benign lesions in the proximal femur at our hospital from April 2002 to April 2013 (38 men and 30 women). Mean age at surgery was 35.5 years (range, 22-56 years). The cases were divided into two groups: curettage of the lesion with bone grafting only as the grafting group (32 cases) and internal fixation after removal of the lesion as the fixation group (36 cases). For the grafting group, lesions were scraped out, deactivated and washed thoroughly with normal saline, then the allogeneic bone was implanted. For the fixation group, after the lesions were scraped, the intramedullary nails were implanted, and allogeneic bone was implanted into the scraped cavity with compaction. RESULTS: Pathological examination showed that 24 out of 68 cases (35.3%) had simple bone cysts (suffered from pathological fracture in 2 cases); 21 (30.9%) fibrous dysplasia; 18 (26.5%) aneurysmal bone cysts; 3 (4.4%) chondroblastoma, 2 (2.9%) out of which were combined with aneurysmal bone cysts. All patients were followed up for 12-96 months (56 months for mean). In the grafting group, 4 patients had postoperative complications (1 pathological bone fractures and 3 deep vein thrombosis), but only 1 patient of the fixation group (deep vein thrombosis) (P < 0.05). The average bedridden time after surgery was 11.4 ± 7.6 days for the grafting group, and for the other group was 7.5 ± 5.4 days ( P < 0.05). CONCLUSION: Both treatments are effective for benign lesions in the proximal femur, but the fixation group facilitated the functional recovery of patients and reduced postoperative complications.
[Mh] Termos MeSH primário: Doenças Ósseas/cirurgia
Transplante Ósseo/métodos
Fêmur/cirurgia
Fixação Intramedular de Fraturas/métodos
[Mh] Termos MeSH secundário: Adulto
Cistos Ósseos/diagnóstico por imagem
Cistos Ósseos/cirurgia
Doenças Ósseas/diagnóstico por imagem
Transplante Ósseo/efeitos adversos
Curetagem/métodos
Feminino
Neoplasias Femorais/diagnóstico por imagem
Neoplasias Femorais/cirurgia
Fêmur/diagnóstico por imagem
Seguimentos
Fixação Intramedular de Fraturas/efeitos adversos
Seres Humanos
Imagem por Ressonância Magnética/métodos
Masculino
Meia-Idade
Recuperação de Função Fisiológica
Estudos Retrospectivos
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.1111/os.12311


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[PMID]:28158933
[Au] Autor:Zhao JG; Wang J; Huang WJ; Zhang P; Ding N; Shang J
[Ad] Endereço:Department of Orthopaedic Surgery, Tianjin Hospital, No. 406 Jiefangnan Road, Hexi District, Tianjin, China, 300211.
[Ti] Título:Interventions for treating simple bone cysts in the long bones of children.
[So] Source:Cochrane Database Syst Rev;2:CD010847, 2017 02 04.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Simple bone cysts, also known as a unicameral bone cysts or solitary bone cysts, are the most common type of benign bone lesion in growing children. Cysts may lead to repeated pathological fracture (fracture that occurs in an area of bone weakened by a disease process). Occasionally, these fractures may result in symptomatic malunion. The main goals of treatment are to decrease the risk of pathological fracture, enhance cyst healing and resolve pain. Despite the numerous treatment methods that have been used for simple bone cysts in long bones of children, there is no consensus on the best procedure. This is an update of a Cochrane review first published in 2014. OBJECTIVES: To assess the effects (benefits and harms) of interventions for treating simple bone cysts in the long bones of children, including adolescents.We intended the following main comparisons: invasive (e.g. injections, curettage, surgical fixation) versus non-invasive interventions (e.g. observation, plaster cast, restricted activity); different categories of invasive interventions (i.e. injections, curettage, drilling holes and decompression, surgical fixation and continued decompression); different variations of each category of invasive intervention (e.g. different injection substances: autologous bone marrow versus steroid). SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, the China National Knowledge Infrastructure Platform, trial registers, conference proceedings and reference lists. Date of last search: April 2016. SELECTION CRITERIA: Randomised and quasi-randomised controlled trials evaluating methods for treating simple bone cysts in the long bones of children. DATA COLLECTION AND ANALYSIS: Two review authors independently screened search results and performed study selection. We resolved differences in opinion between review authors by discussion and by consulting a third review author. Two review authors independently assessed risk of bias and data extraction. We summarised data using risk ratios (RRs) or mean differences (MDs), as appropriate, and 95% confidence intervals (CIs). We used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system to assess the overall quality of the evidence. MAIN RESULTS: In this update in 2017, we did not identify any new randomised controlled trials (RCT) for inclusion. We identified one ongoing trial that we are likely to include in a future update. Accordingly, our results are unchanged. The only included trial is a multicentre RCT conducted at 24 locations in North America and India that compared bone marrow injection with steroid (methylprednisolone acetate) injection for treating simple bone cysts. Up to three injections were planned for participants in each group. The trial involved 90 children (mean age 9.5 years) and presented results for 77 children at two-year follow-up. Although the trial had secure allocation concealment, it was at high risk of performance bias and from major imbalances in baseline characteristics. Reflecting these study limitations, we downgraded the quality of evidence by two levels to 'low' for most outcomes, meaning that we are unsure about the estimates of effect. For outcomes where there was serious imprecision, we downgraded the quality of evidence by a further level to 'very low'.The trial provided very low quality evidence that fewer children in the bone marrow injection group had radiographically assessed healing of bone cysts at two years than in the steroid injection group (9/39 versus 16/38; RR 0.55 favouring steroid injection, 95% CI 0.28 to 1.09). However, the result was uncertain and may be compatible with no difference or small benefit favouring bone marrow injection. Based on an illustrative success rate of 421 children with healed bone cysts per 1000 children treated with steroid injections, this equates to 189 fewer (95% CI 303 fewer to 38 more) children with healed bone cysts per 1000 children treated with bone marrow injections. There was low quality evidence of a lack of difference between the two interventions at two years in functional outcome, based on the Activity Scale for Kids function score (0 to 100; higher scores equate to better outcome: MD -0.90; 95% CI -4.26 to 2.46) or in pain assessed using the Oucher pain score. There was very low quality evidence of a lack of differences between the two interventions for adverse events: subsequent pathological fracture (9/39 versus 11/38; RR 0.80, 95% CI 0.37 to 1.70) or superficial infection (two cases in the bone marrow group). Recurrence of bone cyst, unacceptable malunion, return to normal activities, and participant satisfaction were not reported. AUTHORS' CONCLUSIONS: The available evidence is insufficient to determine the relative effects of bone marrow versus steroid injections, although the bone marrow injections are more invasive. Noteably, the rate of radiographically assessed healing of the bone cyst at two years was well under 50% for both interventions. Overall, there is a lack of evidence to determine the best method for treating simple bone cysts in the long bones of children. Further RCTs of sufficient size and quality are needed to guide clinical practice.
[Mh] Termos MeSH primário: Cistos Ósseos/terapia
Transplante de Medula Óssea/métodos
Glucocorticoides/administração & dosagem
Metilprednisolona/análogos & derivados
[Mh] Termos MeSH secundário: Adolescente
Criança
Seres Humanos
Metilprednisolona/administração & dosagem
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
0 (Glucocorticoids); 43502P7F0P (methylprednisolone acetate); X4W7ZR7023 (Methylprednisolone)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170204
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD010847.pub3


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[PMID]:27882906
[Au] Autor:Genç A; Bozkurt SU; Ozgen S; Pamir MN
[Ad] Endereço:Department of Neurosurgery, Institute of Neurological Sciences,Marmara University, Maltepe, Istanbul - draligenc@gmail.com.
[Ti] Título:Vertebral fracture due to a solitary bone cyst.
[So] Source:J Neurosurg Sci;61(2):228-232, 2017 04.
[Is] ISSN:1827-1855
[Cp] País de publicação:Italy
[La] Idioma:eng
[Mh] Termos MeSH primário: Cistos Ósseos/patologia
Cistos Ósseos/cirurgia
Fraturas da Coluna Vertebral/cirurgia
[Mh] Termos MeSH secundário: Adulto
Dor nas Costas/complicações
Dor nas Costas/diagnóstico
Dor nas Costas/etiologia
Cistos Ósseos/complicações
Cistos Ósseos/diagnóstico
Feminino
Seres Humanos
Cervicalgia/complicações
Cervicalgia/diagnóstico
Cervicalgia/etiologia
Período Pós-Operatório
Fraturas da Coluna Vertebral/diagnóstico
Fraturas da Coluna Vertebral/etiologia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; LETTER; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170411
[Lr] Data última revisão:
170411
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161125
[St] Status:MEDLINE
[do] DOI:10.23736/S0390-5616.16.03241-0


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[PMID]:27341120
[Au] Autor:Erol B; Onay T; Topkar OM; Tokyay A; Aydemir AN; Okay E
[Ad] Endereço:aDepartment of Orthopedics and Traumatology, Marmara University Pendik Training and Research Hospital, Istanbul bDepartment of Orthopedics and Traumatology, Denizli State Hospital, Denizli, Turkey.
[Ti] Título:A comparative study for the treatment of simple bone cysts of the humerus: open curettage and bone grafting either without instrumentation or with intramedullary nailing.
[So] Source:J Pediatr Orthop B;26(1):5-13, 2017 Jan.
[Is] ISSN:1473-5865
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Functional and radiographic outcomes, in addition to complication and reoperation rates of open curettage and grafting without instrumentation or with intramedullary nailing, in the treatment of simple bone cysts (SBCs) of the humerus were compared. Thirty-seven children [25 males, 12 females; median age=9.5 years (range, 3-17 years)] with humeral SBC were treated with curettage and grafting without instrumentation (group 1, 21 patients) or with intramedullary nailing (group 2, 16 patients). The pathological fracture rate was 85.7% in group 1 and 87.5 in group 2. The follow-up duration ranged from 26 to 85 months. The average last follow-up Musculoskeletal Tumor Society functional scores for groups 1 and 2 were 28.9 and 29.5 (P>0.05). Higher, but statistically insignificant (P>0.05), complete or significant partial radiographic healing rates were achieved in group 2 (100%) compared with group 1 (76.2%). The overall complication rate of the entire study population was 21.6% (19%; 4/21 in group 1; 25%; 4/16 in group 2). The reoperation rates for groups 1 and 2 were 9.5% (2/21; one for partial cyst healing, one for recurrence) and 56.25% (9/16; one for surgical complication, eight for implant removal). Surgical intervention is indicated for selected patients with SBCs. Even though perfect functional results were possible with open curettage and grafting, continuous intramedullary decompression with elastic nails led to a higher radiographic healing rate in the treatment of humeral SBCs. Open curettage and grafting with or without intramedullary nailing was associated with a high number of complications, but the rate of reoperation for complications was very low.
[Mh] Termos MeSH primário: Cistos Ósseos/cirurgia
Neoplasias Ósseas/cirurgia
Transplante Ósseo/efeitos adversos
Fixação Intramedular de Fraturas/métodos
Recidiva Local de Neoplasia/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Pinos Ortopédicos/efeitos adversos
Neoplasias Ósseas/patologia
Criança
Pré-Escolar
Curetagem
Descompressão Cirúrgica/métodos
Feminino
Fêmur/cirurgia
Fraturas Espontâneas/etiologia
Seres Humanos
Fraturas do Úmero/cirurgia
Úmero/cirurgia
Masculino
Recidiva Local de Neoplasia/patologia
Dor Pós-Operatória
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160625
[St] Status:MEDLINE


  10 / 3641 MEDLINE  
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Texto completo
[PMID]:26740432
[Au] Autor:Murakami H; Fujimaki Y; Yoshioka K; Kawahara N; Tsuchiya H
[Ad] Endereço:Department of Orthopaedic Surgery, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8641, Japan. Electronic address: hmuraka@med.kanazawa-u.ac.jp.
[Ti] Título:Reconstruction using frozen tumour-bearing vertebra en bloc after total spondylectomy.
[So] Source:J Orthop Sci;22(1):156-159, 2017 Jan.
[Is] ISSN:1436-2023
[Cp] País de publicação:Japan
[La] Idioma:eng
[Mh] Termos MeSH primário: Cistos Ósseos/cirurgia
Fixadores Internos
Osteotomia/métodos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Neoplasias da Coluna Vertebral/cirurgia
Vértebras Torácicas/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Cistos Ósseos/diagnóstico por imagem
Transplante Ósseo/métodos
Crioterapia
Feminino
Seguimentos
Seres Humanos
Ílio/cirurgia
Dor Lombar/diagnóstico
Dor Lombar/etiologia
Imagem por Ressonância Magnética/métodos
Índice de Gravidade de Doença
Neoplasias da Coluna Vertebral/diagnóstico por imagem
Vértebras Torácicas/patologia
Coleta de Tecidos e Órgãos
Tomografia Computadorizada por Raios X/métodos
Transplante Autólogo/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160108
[St] Status:MEDLINE



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