Search

The purpose of the present systematic review was to compare the clinic-radiological features of solitary with multiple idiopathic bone cavity (IBC) reported in the jaws. We also aimed to identify possible features that may have some influence on the frequency of persistence of IBC following treatment. An electronic search was undertaken in August/2018. Eligibility criteria included publications having enough clinical/radiological/histological information to confirm the diagnosis. A total of 284 publications reporting 1253 IBCs were included. Multiple IBCs affect older patients and more frequently women in comparison to solitary IBCs. While trauma is more commonly found in solitary IBC, scalloping around teeth, bone expansion and persistence of the cavity following treatment were more significantly associated with multiple lesions. The most relevant factors that are suggested to influence the persistence of the cavity are ‘surgical access only’ in comparison to ‘curettage’, presence of scalloping around teeth, patients with multiple IBCs, and increase in size of the lesion. Solitary and multiple IBC differ in some clinical and radiological aspects and show distinct rates of persistence following treatment. Curettage is the treatment of choice for IBC compared to surgical access only.

The purpose of the present systematic review was to compare the clinic-radiological features of solitary with multiple idiopathic bone cavity (IBC) reported in the jaws. We also aimed to identify possible features that may have some influence on the frequency of persistence of IBC following treatment. An electronic search was undertaken in August/2018. Eligibility criteria included publications having enough clinical/radiological/histological information to confirm the diagnosis. A total of 284 publications reporting 1253 IBCs were included. Multiple IBCs affect older patients and more frequently women in comparison to solitary IBCs. While trauma is more commonly found in solitary IBC, scalloping around teeth, bone expansion and persistence of the cavity following treatment were more significantly associated with multiple lesions. The most relevant factors that are suggested to influence the persistence of the cavity are ‘surgical access only’ in comparison to ‘curettage’, presence of scalloping around teeth, patients with multiple IBCs, and increase in size of the lesion. Solitary and multiple IBC differ in some clinical and radiological aspects and show distinct rates of persistence following treatment. Curettage is the treatment of choice for IBC compared to surgical access only.

The simple bony cyst is a benign pathology manifested by a cavity filled with clear fluid. It can be located more frequently in the humerus, femur, tibia and less frequently in the calcaneus and jaw. We present the case of an 8-year-old male who came to the clinic for presenting mild pain in the left hip region (2013). The radiograph shows a radiolucent central image in the left proximal femur, in the trochanteric area. After 3 days, a trochanteric hip fracture was found. In the operating room, curettage was performed in the cystic area. Bone graft was placed and the fracture area was fixed with two Rush nails avoiding contact with the growth cartilage. Plaster pelvi pedio was placed Last control in 2017, where it was observed that the patient did not have growth alterations and performs physical activity and locomotion with normality at present., El quiste óseo simple es una patología benigna que se manifiesta por una cavidad llena de líquido claro. Puede localizarse más frecuentemente en húmero, fémur, tibia y menos frecuentemente en calcáneo y mandíbula. Se presenta el caso de un varón de 8 años de edad, que acudió a consulta por presentar dolor leve en región de cadera izquierda (2013). En la radiografía se descubre una imagen central radiolúcida en fémur proximal izquierdo, en zona trocantérica. Después de 3 días se encontró fractura de cadera trocantérica. En sala de operaciones se realizó curetaje en la zona quística. Se colocó injerto óseo y se fijó la zona de fractura con dos clavos Rush evitando tener contacto con el cartílago de crecimiento. Se colocó yeso pelvipedio. Último control en el 2017, donde se observó que el paciente no tuvo alteraciones de crecimiento y realiza actividad física y locomoción con normalidad en la actualidad.

The authors report the results of percutaneous aspiration and injection of marrow into active. simple bone cyst in 17 cases. Slow regression of the cyst and progressive healing were obtained in 13 cases (76%), no response was observed in 2 cases (12%), and recurrence was observed in 2 others (12%) after a follow-up of 33.9 months. Cyst evolution was monitored by a cyst index, cyst diameter, and computer-assisted densitometric image analysis of serial radiographs.