Bilateral humeral simple bone cyst coming with pathological fracture in mature individual: case report

Basit kemik kistleri daha çok çocukluk döneminde görülen benign kemik lezyonları olup, hayatın ilk iki dekadından sonra görülmesi nadirdir. Kemik kistlerinin etyopatogenezinde birçok faktör suçlanmaktadır. Etyolojik faktörler kesin olmadığı için, tedavide de kesin bir yöntemden söz edilmesi mümkün olmamaktadır. Erişkin dönemde kemik matürasyon tamamlandığında kistlerinde spontan regresyonu beklenir. Bu lezyonların tedavisinde pek çok yöntem uygulanmıştır. Küretaj ve grefonajı içeren mekanik tedavi, özellikle 1. dekatta sık uygulanan enjeksiyonel tedavi (steroidler), kistin dekompresyonu (çoklu drilleme, pin, vida), yapısal destekle birlikte dekompresyon (intramedüller çiviler) gibi yöntemler sayılabilir.Bu çalışmada, 25 yaş erişkin hastada basit düşme ile meydana gelen patolojik kırık sonrası değerlendirmelerinde her iki humerus metafizio-diafizer komplet tutulumlu basit kemik kisti olgusunun tanı ve tedavisi sunulmaya çalışıldı.

Matür bireyde patolojik kırık ile gelen bilateral humerus basit kemik kist: olgu sunumu

Simple bone cysts are benign bone lesions commonly seen in childhood, and it is rare after the first two decades of life.Many factors are implicated in etiopathogenesis of bone cyst. Because etiologic factors are not certain, it is not possible to mention about a certain way of treatment either. In adolescence, once the bone maturation is complete, spontaneous regression of the cysts are expected. Many methods were applied in the treatment of these lesions. Mechanical treatment involving curettage and grafting, injectional treatment (steroids) especially applied in the 1st decade, decompression of the cyst (multi-drilling, pin, screw), decompression with structural support (intramedullary nails) can be mentioned among the methods.In this study, we have attempted to present diagnosis and treatment of case of 25 year old adult's simple bone cyst with metaphyseal-diaphyseal complete involvement of both humerus which was identified in assessments after pathological fracture caused by a simple fall.

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