Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00035023.xml
Download PDF
Vet Comp Orthop Traumatol 2003; 16(02): 116-121
DOI: 10.1055/s-0038-1632757
DOI: 10.1055/s-0038-1632757
Case Report
Aneurysmal bone cyst in the distal radius of a dog: diagnostic imaging and surgical treatment
The authors would like to thank their colleagues and the staff of the academic hospital for their help and support with this case. Particular thanks go to Dr.T.Van Rooyen for his help with the surgery, and Prof. R.M. Kirberger and Dr. L. Koma for their help with the diagnostic procedures.
Further Information
Publication History
Received
13 February 2002
Accepted
28 October 2002
Publication Date:
22 February 2018 (online)
Summary
An 11 month old, female Golden Retriever was examined for chronic right thoracic limb lameness and progressive swelling of the distal radius. Survey radiographs revealed an expansile, osteolytic lesion in the distal metaphyseal region of the radius consistent with an aneurismal bone cyst. Diagnostic imaging, biopsy, angiography and histopathology supported this diagnosis. The condition was treated by segmental osteotomy of the affected radius, placement of a vascularized autogenous bone graft harvested from the contralateral ulna, and stabilized using a plate that incorporated the carpal joint. The pathogenesis, diagnostic dilemmas and treatment options in dogs and human patients is discussed.
-
References
- 1 Aegerter E, Kirkpatrick JA. In: Orthopedic diseases. 4th edn. Philadelphia: WB. Saunders; 1975: 424-433.
- 2 Biesecker JL, Marcove RC, Huvos AG, Miké V. Aneurysmal bone cysts: A clinicopathologic study of 66 cases. Cancer 1970; 26: 615-25.
- 3 Biller DS, Johnson GC, Birchard SJ, Fingland RB. Aneurysmal bone cyst in a rib of a cat. J Am Vet Med Assoc 1987; 190: 1193-5.
- 4 Bonakdarpour A, Levy WM, Aegerter E. Primary and secondary aneurysmal bone cyst: A radiological study of 75 cases. Radiology 1978; 128: 75-83.
- 5 Bowles MHY, Freeman K. Aneurysmal bone cyst in the ischia and pubes of a dog: A case report and literature review. J Am Anim Hosp Assoc 1987; 23: 423-7.
- 6 Duval JM, Chambers JN, Newell SM. Surgical treatment of an aneurysmal bone cyst in a dog. Vet Comp Orthop Traumatol 1995; 08: 213-7.
- 7 Halliwell WH. Tumourlike lesions of bone. In: Disease mechanisms in small animal surgery. Bojrab M J. (ed), 2nd edn. Philadelphia: Lea and Febiger; 1993: 933-43.
- 8 Jaffe HL, Lichtenstein L. Solitary uni-cameral bone cyst. With emphasis on the roentgen picture, the pathologic appearance and the pathogenesis. Arch Surg 1942; 44: 1004-25.
- 9 Koma LMPK, Stead AC. Angiographic examination of the forelimb in dogs with abnormal growth of the distal radius and ulna. J Small Anim Pract 1987; 28: 1065-72.
- 10 Levitt L, Fowler JD, Longley M, Bowen V, Wilkinson AA. A developmental model for free vascularized bone transfer in the dog. Vet Surg 1988; 17: 194-202.
- 11 Lindbom A, Söderberg G, Spjut HJ, Sunnqvist O. Angiography of aneurysmal bone cyst. Acta Radiol 1961; 55: 12-16.
- 12 Lichtenstein L. Aneurysmal bone cyst: A pathological entity commonly mistaken for giantcell tumour and occasionally for hemangioma and osteogenic sarcoma. Cancer 1950; 03: 279-89.
- 13 Liu S, Dorfman HD, Patnaik AK. Primary and secondary bone tumours in the cat. J Small Anim Pract 1974; 15: 141-56.
- 14 Mirra JM. Aneurysmal bone cyst. In: Bone tumours. vol 2. Mirra JM. (ed). Philadelphia: Lea & Febiger; 1989: 1267-1309.
- 15 Papageorges M, Sande RD, Menard M, Stone DM. Osteosarcoma mimicking a bone cyst in a dog. Can Vet J 1989; 30: 511-13.
- 16 Pernell RT, Dunstan RW, DeCamp CE. Aneurysmal bone cyst in a six-month-old dog. J Am Vet Med Assoc 1992; 201: 1897-9.
- 17 Phelan JT. Aneurysmal bone cyst. Surg Gynecol Obstet 1964; 119: 979-83.
- 18 Piermattei DL. The forelimb. In: An atlas of surgical approaches to the bones and joints of the dog and cat. 3rd edn. Philadelphia: Saunders; 1993: 122-205.
- 19 Piermattei DL, Flo GL. Fractures and other orthopedic conditions of the carpus, metacarpus, and phalanges. In: Brinker, Piermattei, and Flo’s Handbook of small animal orthopaedics and fracture repair. 3rd edn. Philadelphia: Saunders; 1997: 344-89.
- 20 Renegar WR, Thornburg LP, Burk RL, Stoll SG. Aneurysmal bone cyst in the dog: A case report. J Am Anim Hosp Assoc 1979; 15: 191-5.
- 21 Ring SM, Beranbaum ER, Madayag MA, Nicolosi CR. Angiography of aneurysmal bone cyst. Bull Hosp Joint Dis 1972; 33: 1-7.
- 22 Schena CJ, Mitten RW, Hoefle WD. Segmental freeze-dried and fresh cortical allografts in the canine femur. I. A sequential radiographic comparison over a one-year time interval. J Am Anim Hosp Assoc 1984; 20: 911-25.
- 23 Schobinger R, Stoll HC. The arteriographic picture of benign bone lesions containing giant cells. J Bone Jt Surg 1957; 39-A: 953-60.
- 24 Shiroma JT, Weisbrode SE, Biller DS, Olmstead ML. Pathological fracture of an aneurysmal bone cyst in the lumbar vertebra of a dog. J Am Anim Hosp Assoc 1993; 29: 434-7.
- 25 Slowick FA, Campbell CJ, Kettelkamp DB. Aneurysmal bone cyst: An analysis of thirteen cases. J Bone Jt Surg 1968; 50-A: 1142-51.
- 26 Stevenson S. Bone grafting. In: Textbook of small animal surgery. Vol 2. Slatter D H. (ed). Philadelphia: Saunders; 1993: 1694-703.
- 27 Szentimrey D, Fowler D. The anatomic basis of a free vascularized bone graft based on the canine distal ulna. Vet Surg 1994; 23: 529-33.
- 28 Szentimrey D, Fowler D, Johnston G, Wilkinson A. Transplantation of the canine distal ulna as a free vascularized bone graft. Vet Surg 1995; 24: 215-25.
- 29 Tillman BP, Dahlin Dc, Lipscomb PR, Stewart JR. Aneurysmal bone cyst: An analysis of ninety-five cases. Mayo Clin Proc 1968; 43: 478-95.
- 30 Yaghmai I, Zia A, Shariat S, Afshari R. Value of arteriography in the diagnosis of benign and malignant bone lesions. Cancer 1971; 27: 1134-47.
- 31 Walker MA, Duncan JR, Shaw JW, Chapman WW. Aneurysmal bone cyst in a cat. J Am Vet Med Assoc 1975; 15: 933-4.