Anevrizmal Kemik Kistine Bağlı Femur Boyun Kırığı: Pediatrik Olgu Sunumu

Öz

Anevrizmal kemik kisti, iyi huylu, genişleme özelliği olan, daha çok çocukluk ve adölesan çağlarda görülen kemik lezyonlarıdır. Özellikle femur, tibia, humerus gibi uzun kemikler ve vertebra posterior elemanlarına yerleşir.Yaklaşık yılda 1.5 milyon insan bu hastalığa maruz kalmaktadır. Herhangi bir kemik segmentini tutabilmekle birlikte en sık tutulum alanları uzun kemikler ve vertebraların metadiyafizleridir. Etyolojide hala fikir birliği sağlanamamıştır. En güçlü kabul edilen görüş kemiğe gelen mikrotravmaların kemiğin dolaşımını bozduğu kabul edilmektedir. Tedavi seçeneğine hastanın şikayeti, lezyonun lokalizasyonu ve büyüme hızına göre karar verilir. Kliniğimizde teşhis ve tedavisini yaptığımız bu vakayı hastalığın sinsi ve yıkıcı etkilere yol açabileceğini vurgulamak amacı ile meslektaşlarımızla paylaşmayı amaçladık

Anahtar Kelimeler

• Kemik kisti, femur boyun kırığı, küretaj

Aneursymal Bone Cyst Causing a Femoral Neck Fracture: A Pediatric Case

Öz

Aneurysmal bone cysts are benign active or aggressive bone lesions that commonly arise in the long bones, especially the femur, tibia and humerus and in the posterior elements of the spine. They are extremely rare, occurring in 1.5 per one million people per year. They most commonly occur in the metaphysis of long bones during the first two decades of life and usually present with pain, swelling or fracture. The etiology of aneursymal bone cysts is unknown, but numerous authors have proposed that they form in response to vascular disruption in the bone due to a pre-existing primary tumor or a traumatic insult. The early rate of growth of aneursymal bone cysts is also unknown. We wanted to share this case to show the destructive effects of aneursymal bone cysts

Anahtar Kelimeler

• Bone cyst, femoral neck fracture, curettage

Kaynakça

1. DiCaprio MR, Murphy MJ, Camp RL. Aneurysmal bone cyst of the spine with familial incidence. Spine 2000; 25: 1589-92. [CrossRef]
2. Schonauer C, Tessitore E, Schonauer M. Aneurysmal bone cyst of the frontal bone in a soccer player. Acta Neurochir (Wien) 2000; 142: 1165-6. [CrossRef]
3. Biesecker JL, Marcove RC, Huvos AG, Miké V. Aneurysmal bone cysts. A clinicopathologic study of 66 cases. Cancer 1970; 26: 615-25. [CrossRef]
4. Jaffe HL. Aneurısymal bone cyst. Bull Hosp Joint Dis 1950; 11: 3-13.
5. Althof PA, Ohmori K, Zhou M, Bailey JM, Bridge RS, Nelson M, et al. Cyto- genetic and molecular cytogenetic findings in 43 aneurysmal bone cysts: aberrations of 17p mapped to 17p13.2 by fluorescence in situ hybridization. Mod Pathol 2004; 17: 518-25. [CrossRef]
6. Chan G, Arkader A, Kleposki R, Dormans JP. Case report: primary ane- urysmal bone cyst of the epiphysis. Clin Orthop Relat Res 2010; 468: 1168-72. [CrossRef]
7. Montalti M, Alberghini M, Ruggieri P. Secondary aneurysmal bone cyst in fib- rous dysplasia of the proximal femur. Orthopedics 2009; 32: 363. [CrossRef]
8. Beris AE, Lykissas MG, Payatakes A, Kontogeorgakos VA, Mavrodontidis A, Korompilias AV. Free vascularized fibular graft for treatment of pathologi- cal femoral neck fracture and osteonecrosis of the femoral head: a case re- port with a long-term follow-up. Microsurgery 2009; 29: 240-3. [CrossRef]

9. Singh VP, Mir R, Kaul S. Aneurysmal bone cyst of sternum. Thorac Surg 2010; 89: e43-5. [CrossRef]
10. George B, Abudu A, Grimer RJ, Carter SR, Tillman RM. The treatment of benign lesions of the proximal femur with non-vascularised autologous fibular strut grafts. J Bone Joint Surg Br 2008; 90: 648-51.
11. Ohashi M, Ito T, Hirano T, Endo N. Percutaneous intralesional injection of calcitonin and methylprednisolone for treatment of an aneurysmal bone cyst at C-2. Division of Orthopedic Surgery, Department of Rege- nerative and Transplant Medicine, Niigata University Graduate School of Medicine and Dental Sciences, Niigata, Japan. J Neurosurg Pediatr 2008; 2: 365-9.
12. Yildirim E, Ersözlü S, Kirbas I, Özgür AF, Akkaya T, Karadeli E. Treatment of pelvic aneurysmal bone cysts in two children: selective arterial em- bolization as an adjunct to curettage and bone grafting. Diagn Interv Radiol 2007; 13: 49-52.
13. Ozaki T, Hillmann A, Lindner N, Winkelman W. Cementation of primary aneurysmal bone cysts. Clin Orthop Relat Res 1997; 337: 240-8.