2013, Number 2
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Acta Ortop Mex 2013; 27 (2)
Large intraosseous ganglion in the femoral condyle treated with resorbable cement: clinical case and differential diagnosis
Lax-Pérez R, Ferrero-Manzanal F, Murcia-Asensio A, Lax-Pérez A
Language: Spanish
References: 13
Page: 123-127
PDF size: 122.75 Kb.
ABSTRACT
We report a case of a very large
intraosseous ganglion in a patient with Down’s
syndrome. The lesion was located in the medial
femoral condyle and was diagnosed with imaging
techniques (X-rays, CAT scan, bone scan and magnetic
resonance imaging) that allowed measuring
it. Treatment consisted of curettage and filling of
the defect with the skeletal repair system carbonated
apatite resorbable cement which allowed for
immediate early weight bearing during the postoperative
period in a non-cooperative patient. We
think the location and size of the lesion are of interest,
as well as the peculiarities of the patient,
which may help understand the pathophysiology
of this entity. As far as we know, the use of resorbable
cement to treat this kind of lesions has not
been reported.
REFERENCES
Schajowicz F, Clavel-Sainz M, Slullitel JA: Juxtaarticular bone cysts (intra-osseous ganglia). A clinicopathological study of eightyeigth cases. J Bone Joint Surg 1979; 61-B: 107-16.
Daly PJ, Sim FH, Beabout 2JW, Unni KK: Intraosseous ganglion cysts. Orthopedics 1988; 11(12): 1715-9.
Schacherer TG, Aulicino PL: Intraosseous ganglia of the carpal bones. Orthop Rev 1991; 20(10): 889-92.
McCarthy EF, Matz S, Steiner GC, Dorfman HD: Periosteal ganglion: a cause of cortical bone erosion. Skeletal Radiol 1983; 10(4): 243-6.
Rozbruch SR, Chang V, Bohne WH, Deland JT: Ganglion cyst of the lower extremity: an analysis of 54 cases and review of the literature. Orthopedics 1998; 21(2): 141-8.
Ferkel RD, Field J, Scherer WP, Bernstein ML, Kasimian D: Intraosseous ganglion cysts of the ankle: a report of three cases with longterm follow-up. Foot Ankle Int 1999; 20(6): 384-8.
Urayama M, Itoi E, Watanabe H, Sato K, Kamei J: Intraosseous ganglion of the glenoid. Orthopedics 1999; 22(7): 705-6.
Wu KK: Intraosseous ganglion cyst of the middle cuneiform bone of the foot. J Foot Ankle Surg 1994; 33(6): 633-5.
Williams HJ, Davies AM, Allen G, Evans N, Mangham DC: Imaging features of intraosseous ganglia: a report of 45 cases. Eur Radiol 2004; 14: 1761-9.
Tey IK, Mahadev A, Lim KBL, Lee EH, Nathan SS: Active unicameral bone cysts in the upper limb are at greater risk of fracture. Journal of Orthopaedic Surgery 2009; 17(2): 157-60.
Yanagawa T, Watanabe H, Shinozaki T, Takagishi K: Curettage of benign bone tumors without grafts gives suffi cient bone strength: A case-series of 78 patients. Acta Orthopaedica 2009; 80(1): 9-13.
Constantz BR, Ison IC, Fulmer MT, et al: Skeletal repair by in situ formation of the mineral phase of bone. Science 1995; 267: 1796-99.
Hirn M, de Silva U, Sidharthan S, Grimer RJ, Abudu A, Tillman RM, et al: Bone defects following curettage do not necessarily need augmentation. Acta Orthop 2009; 80(1): 4-8.