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首页> 外文期刊>Open Journal of Urology >Solitary Bone Cyst of the Proximal Humerus with a Concomitant Stiff Shoulder Treated with both Arthroscopic Capsular Release and Arthroscope-Assisted Resection of the Bone Cyst: A Case Report
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Solitary Bone Cyst of the Proximal Humerus with a Concomitant Stiff Shoulder Treated with both Arthroscopic Capsular Release and Arthroscope-Assisted Resection of the Bone Cyst: A Case Report

机译：关节镜胶囊释放术和关节镜辅助切除术治疗伴有僵硬肩突的近端肱骨孤立性囊肿：一例报告

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摘要

Solitary bone cysts are benign bone lesions that usually occur in the humerus, calcaneus, and femur of children and adolescents. When present in adults, they are usually diagnosed as incidental findings. In this report, we present an adult case of a solitary bone cyst of the proximal humerus with concomitant refractory stiff shoulder treated with both arthroscopic capsular release and arthroscope-assisted resection of the bone cyst. A 73-year-old woman was referred with a complaint of persistent left shoulder pain and limited range of motion. Magnetic resonance imaging showed an approximately 4.5-cm long diameter cystic bone lesion from the humeral neck to the shaft. At first, arthroscopic synovectomy and pan-capsular release were performed. Next, two 1-cm skin incisions and 8-mm drill holes into the lateral wall of the cyst were created with fluoroscopic guidance. After insertion of the arthroscope through the holes, the white membranous cyst wall was resected with a shaver until bone marrow was observed. Finally, an 8-mm cannulated hydroxyapatite pin was inserted. This is a simple technique that allows direct visualization and complete resection of the cyst wall with two small incisions. Such a technique may be superior to conventional open procedures or those under image guidance.
机译：孤立性骨囊肿是良性骨病变，通常发生在儿童和青少年的肱骨，跟骨和股骨中。当它们存在于成年人中时，通常被诊断为偶然发现。在这份报告中，我们介绍了一个成人病例，肱骨近端的孤立性骨囊肿伴有难治性僵硬的肩膀，并经关节镜下的囊膜松解术和关节镜辅助的骨囊肿切除术治疗。一名73岁的妇女因持续左肩疼痛和活动受限而被转介。磁共振成像显示从肱骨颈到干轴长约4.5厘米长的囊性骨病变。首先，进行关节镜滑膜切除术和全囊释放。接下来，在透视引导下，在囊肿的侧壁上开了两个1厘米的皮肤切口和8毫米的钻孔。在通过孔插入关节镜后，用剃须刀切除白色的膜性囊肿壁，直到观察到骨髓。最后，插入一个8毫米的空心羟基磷灰石针。这是一种简单的技术，可通过两个小切口直接观察并完整切除囊壁。这种技术可能优于常规的开放程序或在图像指导下的程序。

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