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-00000068.xml
Download PDF
Semin intervent Radiol 2002; 19(3): 229-234
DOI: 10.1055/s-2002-35330
DOI: 10.1055/s-2002-35330
Intralesional Ethibloc Injections in Bone Cysts in Children
Further Information
Publication History
Publication Date:
07 November 2002 (online)
ABSTRACT
Benign bone cysts (aneurysmal and unicameral) often require treatment in order to prevent pathological fractures. Percutaneous injections are less invasive than surgery is, and different percutaneous treatments have been proposed, such as local injection of steroids, calcitonin, or bone marrow in unicameral bone cysts (UBCs) and Ethibloc injection in both UBCs and aneurysmal bone cysts (ABCs). We describe the percutaneous Ethibloc injection in bone cysts in children, which appears to be an efficient method. Within the tumor, histological modifications usually occur after these injections because of the fibrogenic properties of the agent. Therefore, we emphasize the necessity of obtaining a histological proof before any injection, especially in ABCs.
KEYWORDS
Bones - cysts - interventional procedures - skeletal system in infants and children
REFERENCES
- 1 Adamsbaum C, Kalifa G, Seringe R, Dubousset J. Direct Ethibloc injection in benign bone cysts: preliminary report on four patients. Skeletal Radiol . 1993; 22 317-320
- 2 Hudson M T. Scintigraphy of aneurysmal bone cysts. AJR Am J Roentgenol . 1984; 142 761-765
- 3 Shinozaki T, Arita S, Watanabe H. Simple bone cysts treated by multiple drill-holes: 23 cysts followed 2-10 years. Acta Orthop Scand . 1996; 67 288-290
- 4 Scaglietti O, Marchetti P G, Bartolozzi P. The effects of methylprednisolone acetate in the treatment of bone cysts: results of three years follow-up. J Bone Joint Surg . 1979; 61B 200-204
- 5 Capanna R, Dal Monte A, Gitelis S, Campanacci M. The natural history of unicameral bone cyst after steroid injection. Clin Orthop . 1982; 166 204-211
- 6 Campanacci M, Capanna R, Picci P. Unicameral and aneurysmal bone cysts. Clin Orthop . 1986; 204 25-36
- 7 Capanna R, Albissini U, Caroli G C, Campanacci M. Contrast examination as a prognostic factor in the treatment of solitary bone cyst by cortisone injection. Skeletal Radiol . 1984; 12 97-102
- 8 Scaglietti O, Marchietti P G, Bartolozzi P. Final result obtained in the treatment of bone cysts with methylprednisolone acetate (Depomedrol) and a discussion of results achieved in other bone lesions. Clin Orthop . 1982; 165 33-42
- 9 Oppenheim W L, Galleno H. Operative treatment versus steroid injection in the management of unicameral bone cysts. J Pediatr Orthop . 1984; 4 1-7
- 10 Paley D, Young M C, Wiley A M. Percutaneous bone marrow grafting of fractures and bony defects. An experimental study in rabbits. Clin Orthop . 1986; 208 300-312
- 11 Wientroub S, Goodwin D, Khermosh O. The clinical use of autologous marrow to improve osteogenic potential of bone grafts in pediatric orthopaedics. J Pediatr Orthop . 1989; 9 186-190
- 12 Lokiec F, Ezra E, Khermosh O, Wientroub S. Simple bone cysts treated by percutaneous autologous marrow grafting. A preliminary report. J Bone Joint Surg . 1996; 78B 934-937
- 13 Kiesler T W, Kling T F, Rougraff B T. Unicameral bone cysts. Curr Opin Orthop . 1994; 5 75-77
- 14 Altermatt S, Schowobel M, Pochon J P. Operative treatment of solitary bone cysts with tricalcium phosphate ceramic: a 1 to 7 years follow-up. Eur J Pediatr Surg . 1992; 2 180-182
- 15 Bonakdarpour A, Levy W M, Aegerter E. Primary and secondary aneurysmal bone cyst: a radiological study of 75 cases. Radiology . 1978; 126 75-83
- 16 Kransdorf M J, Sweet D E. Aneurysmal bone cyst: concept, controversy, clinical presentation and imaging. AJR Am J Roentgenol . 1995; 164 573-580
- 17 Martinez V, Sissons H A. Aneurysmal bone cyst. A review of 123 cases including primary lesions and those secondary to other bone pathology. Cancer . 1988; 61 2291-2304
- 18 Freiberg A A, Randall T L, Heidelberger K P. Aneurysmal bone cysts in young children. J Pediatr Orthop . 1994; 14 86-91
- 19 Cory D A, Fritsch S A, Cohen M D. Aneurysmal bone cysts. Imaging findings and embolotherapy. AJR Am J Roentgenol . 1989; 153 369-373
- 20 Riche M C, Hadjean E, Tran Ba Huy P, Merland J J. The treatment of capillary venous malformation using a new fibrosing agent. Plast Reconstr Surg . 1983; 71 607-614
- 21 Richter G, Rassweiler J, Kauffmann G W. Experimental study of the effectiveness of capillary embolization using contrast-enhanced Ethibloc. Invest Radiol . 1984; 19 36-44
- 22 Dubois J M, Sebag G H, De Prost Y. Soft tissue venous malformations in children: percutaneous sclerotherapy with Ethibloc. Radiology . 1991; 180 195-198
- 23 Guibaud L, Herbreteau D, Dubois J. Aneurysmal bone cysts: percutaneous embolization with an alcoholic solution of zein-series of 18 cases. Radiology . 1998; 208 369-373
- 24 Garg N K, Carty H, Walsh H PJ, Dorgan J C, Bruce C E. Percutaneous Ethibloc injection in aneurysmal bone cysts. Skeletal Radiol . 2000; 29 211-216
- 25 Leclet H, Pasquier G. Percutaneously injectable bone substitutes. Rev Rhum Engl Ed . 1993; 60 261
- 26 Leclet H L, Pasquer G J, Adamsbaum C S, Hardouin P A. Bone properties of Ethibloc: experimental data. Radiology . 1993; 189(P) 386
- 27 Mirtchi A A, Lemaitre J, Terao N. Calcium phosphate cements: study of the beta-tricalcium phosphate-monocalcium phosphate system. Biomaterials . 1989; 10 475-480
- 28 Mirtchi A A, Lemaitre J, Munting E. Calcium phosphate cements: study of the beta-tricalcium phosphate-dicalcium phosphate-calcite system. Biomaterials . 1990; 11 83-88