Ahmet Emrah ACAN, Onur BAŞCI, Hasan HAVITÇIOĞLU

Aneurysmal bone cyst healing response with intramedullary lengthening nail

We report the treatment process of a pediatric patient with deformity and shortening in the arm after a recurrent aggressive aneurysmal bone cyst (ABC) in the proximal humerus. The patient was treated with curettage of the lesion and lengthening on an intramedullary nail following an osteotomy just distal to the ABC. The period of lengthening was approximately 50 days. At the end of the treatment the lengthening goal was achieved without any neurovascular complication. There was a minimal loss in shoulder hyperabduction due to the deformity of the humeral head.

___

23. Dal Monte A, Andrisans A, Manfrini M, et al. Humeral lengthening in hypo-plasia of the upper limb. J Pediatr Orthop. 1985 March;5(2):202e207.

22. Herzenberg JE, Scheufele LL, Paley D, Bechtel R, Tepper S. Knee range of motion in isolated femoral lengthening. Clin Orthop Relat Res. 1994 Apr;301: 49e54.

21. Schopler SA, Lawrence JF, Johnson MK. Lengthening of the humerus for upper extremity limb length discrepancy. J Pediatr Orthop. 1986 Aug;6(4):477e480.

20. Tanaka K, Nakamura K, Matsushita T, Horinaka S, Kusaba I, Kurokawa T. Callus formation in the humerus compared with the femur and tibia during limb lengthening. Arch Orthop Trauma Surg. 1998 Apr;117(4e5):262e264.

19. Kiss S, Pap K, Vízkelety T, Terebessy T, Balla M, Szoke G. The humerus is the best place for bone lengthening. Int Orthop. 2008 Jun;32(3):385e388.

18. Dick HM, Tietjen R. Humeral lengthening for septic neonatal growth arrest. Case report. J Bone Jt Surg Am. 1978 Dec;60(8):1138e1139.

17. Ramaker RR, Lagro SW, van Roermund PM, Sinnema G. The psychological and social functioning of 14 children and 12 adolescents after Ilizarov leg length-ening. Acta Orthop Scand. 2000 Feb;71(1):55e59.

16. Krieg AH, Speth BM, Foster BK. Leg lengthening with a motorized nail in ad-olescents: an alternative to external fixators? Clin Orthop Relat Res. 2008 Jan;466(1):189e197.

15. Paley D. Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat Res. 1990 Jan;250:81e104. Review.

14. Dahl MT, Gulli B, Berg T. Complications of limb lengthening. A learning curve. Clin Orthop Relat Res. 1994 Apr;301:10e18.

13. De Bastiani G, Aldegheri R, Renzi-Brivio L, Trivella G. Limb lengthening by callus distraction (callotasis). J Pediatr Orthop. 1987 MareApr;7(2):129e134.

12. Bollini G, Jouve JL, Cottalorda J, Petit P, Panuel M, Jacquemier M. Aneurysmal bone cyst in children: analysis of twenty-seven patients. J Pediatr Orthop B. 1998 Oct;7(4):274e285.

11. Pritchett JW. Growth and predictions of growth in the upper extremity. J Bone Jt Surg Am. 1988 Apr;70(4):520e525.

10. Dameron Jr TB, Reibel DB. Fractures involving the proximal humeral epiphyseal plate. J Bone Jt Surg Am. 1969 Mar;51(2):289e297.

9. Schreuder HW, Veth RP, Pruszczynski M, et al. Aneurysmal bone cysts treated by curettage, cryotherapy and bone grafting. J Bone Jt Surg Br. 1997 Jan;79(1): 20e25.

8. Thaller PH, Fürmetz J, Wolf F, Eilers T, Mutschler W. Limb lengthening with fully implantable magnetically actuated mechanical nails (PHENIX(®)) pre-liminary results. Injury. 2014 Jan;45(Suppl. 1):S60eS65.

7. Poul J, Svebis M. Results of lengthening 20 humeri. Acta Chir Orthop Traumatol Cech. 2001 Jan;68:289e293.

6. Cattaneo R, Villa A, Catagni MA, et al. Lengthening of the humerus using the Ilizarov technique: description of the method and report of 43 cases. Clin Orthop. 1990 Jan;250:117e124.

5. Kaila R, Ropars M, Briggs TW, Cannon SR. Aneurysmal bone cyst of the pediatric shoulder girdle: a case series and literature review. J Pediatr Orthop Br. 2007 Nov;16(6):429e436.

4. Cottalorda J, Kohler R, Sales de Gauzy J, et al. Epidemiology of aneurysmal bone cyst in children: a multicenter study and literature review. J Pediatr Orthop B. 2004 Nov;13(6):389e394.

3. Campanacci M, Capanna R, Picci P. Unicameral and aneurysmal bone cysts. Clin Orthop Relat Res. 1986 March;204:25e36.

2. Mirra JM. Aneurysmal bone cyst. In: Mirra JM, Picci P, Gold RH, eds. Bone Tumors. Clinical, Radiologic, and Pathologic Correlations. 2nd ed. Philadelphia: Lea and Febiger; 1989 June:1267e1311.

1. Farsetti P, Tudisco C, Rosa M, Pentimalli G, Ippolito E. Aneurysmal bone cyst. Long-term follow-up of 20 cases. Arch Orthop Trauma Surg. 1990 June;109(4): 221e223.