Steroid injections in the treatment of humeral unicameral bone cysts: long-term follow-up and review of the literature.
Eur J Orthop Surg Traumatol
; 24(4): 497-503, 2014 May.
Article
in En
| MEDLINE
| ID: mdl-23549913
ABSTRACT
BACKGROUND:
Retrospective evaluation of long-term effectiveness of the steroid injections treatment in patients with unicameral bone cysts (UBC).METHODS:
From January 1993 to April 2005, 23 children affected by proximal humeral UBC were evaluated according to the Neer-Cole classification system and treated with serial methylprednisolone acetate's injections. The patients were followed up at 1, 3, 6 and 12 months and then every year until the adolescence.RESULTS:
After treatment, in 15 out of 23 patients (65.2%), the humeral cysts were referred, respectively, as Grade 1 and in four as Grade 2. In 4 patients, a refracture occurred. Statistical analysis showed an overall good response in 82.6% of patients at the end of the follow-up. Minor complication including skin discoloration accounted for 13.04%.CONCLUSIONS:
The steroid injections showed to be an alternative excellent treatment for UBC, with complete healing of the lesions in the majority of cases. This procedure is not expensive, mini-invasive, with low surgical risk and short hospitalization.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bone Cysts
/
Methylprednisolone
/
Humerus
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
En
Journal:
Eur J Orthop Surg Traumatol
Year:
2014
Document type:
Article
Affiliation country:
Italia