1. Steroid injections in the treatment of humeral unicameral bone cysts: long-term follow-up and review of the literature.
- Author
-
Pavone, V., Caff, G., Di Silvestri, C., Avondo, S., and Sessa, G.
- Subjects
- *
BONES , *CONFIDENCE intervals , *CYSTS (Pathology) , *HUMERUS , *INJECTIONS , *HEALTH outcome assessment , *STEROIDS , *TREATMENT effectiveness , *RETROSPECTIVE studies , *DATA analysis software , *DESCRIPTIVE statistics , *KAPLAN-Meier estimator , *METHYLPREDNISOLONE - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF