Aneurysmal bone cysts in young children

Andrew A. Freiberg, Randall Loder, Kathleen P. Heidelberger, Robert N. Hensinger

Research output: Contribution to journalArticle

79 Citations (Scopus)

Abstract

We reviewed seven young children (≤10 years) with aneurysmal bone cysts. There were four girls and three boys. Six had involvement of the long bones and one had involvement of the clavicle. The average age was 5.5 years (range 2.9-10.6 years). Initial treatment was curettage and bone grafting. There were recurrences in five of the seven children (71%). This represented 100% of children with radiographically aggressive or active lesions. The recurrences appeared rapidly, at an average of 8 months from the first procedure. The mitotic index of the initial lesion did not correlate with that of the recurrent lesion. Surgical management of the recurrences must be handled individually, but repeat curettage and grafting is only recommended when surgical resection is not possible. This high rate of recurrence in radiographically aggressive or active aneurysmal bone cysts in young children should be considered when planning treatment, and in the preoperative counseling of parents.

Original languageEnglish (US)
Pages (from-to)86-91
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume14
Issue number1
StatePublished - 1994
Externally publishedYes

Fingerprint

Aneurysmal Bone Cysts
Recurrence
Curettage
Clavicle
Mitotic Index
Bone Transplantation
Counseling
Parents
Bone and Bones
Therapeutics

Keywords

  • Aneurysmal bone cyst
  • Curettage and grafting
  • Long bones
  • Recurrence
  • Young children

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Freiberg, A. A., Loder, R., Heidelberger, K. P., & Hensinger, R. N. (1994). Aneurysmal bone cysts in young children. Journal of Pediatric Orthopaedics, 14(1), 86-91.

Aneurysmal bone cysts in young children. / Freiberg, Andrew A.; Loder, Randall; Heidelberger, Kathleen P.; Hensinger, Robert N.

In: Journal of Pediatric Orthopaedics, Vol. 14, No. 1, 1994, p. 86-91.

Research output: Contribution to journalArticle

Freiberg, AA, Loder, R, Heidelberger, KP & Hensinger, RN 1994, 'Aneurysmal bone cysts in young children', Journal of Pediatric Orthopaedics, vol. 14, no. 1, pp. 86-91.
Freiberg AA, Loder R, Heidelberger KP, Hensinger RN. Aneurysmal bone cysts in young children. Journal of Pediatric Orthopaedics. 1994;14(1):86-91.
Freiberg, Andrew A. ; Loder, Randall ; Heidelberger, Kathleen P. ; Hensinger, Robert N. / Aneurysmal bone cysts in young children. In: Journal of Pediatric Orthopaedics. 1994 ; Vol. 14, No. 1. pp. 86-91.
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