Treatment of symptomatic para-articular intraosseous cysts by percutaneous injection of bone cement.

Fiche publication


Date publication

janvier 2013

Auteurs

Membres identifiés du Cancéropôle Est :
Pr GANGI Afshin


Tous les auteurs :
Maurel B, Le Corroller T, Bierry G, Buy X, Host P, Gangi A

Résumé

PURPOSE: To describe the technique and clinical outcome of percutaneous injection of bone cement in the treatment of symptomatic para-articular intraosseous cysts. MATERIALS AND METHODS: Five patients (three men, two women; mean age 35 years) with painful para-articular intraosseous cysts were treated by percutaneous injection of bone cement under combined fluoroscopic and computed tomography (CT) guidance. The lesions were all located in weight-bearing bones, involving the acetabulum, proximal tibia, distal tibia, talus, and calcaneus, respectively. RESULTS: The average amount of bone cement injected was 2.1 ml (range, 0.6-3.5 ml). Calcium phosphate cement was used in four cases and acrylic cement in one case. There were no immediate or delayed complications. Full pain relief was obtained between 1 and 4 weeks after treatment. All patients made a complete recovery and were pain-free at their last visit. CONCLUSIONS: Percutaneous injection of bone cement was a safe and efficient technique in the management of symptomatic para-articular intraosseous cysts in our population.

Référence

Skeletal Radiol. 2013 Jan;42(1):43-8