The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
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Treatment of Unicameral Bone Cysts with Methylprednisolone Acetate

Methylprednisolone Acetate를 이용한 고립성 골낭종의 치료

  • Shin, Hyun-Dae (Department of Orthopaedic Surgery, College of Medicine, Chungnam National University Hospital) ;
  • Rhee, Kwang-Jin (Department of Orthopaedic Surgery, College of Medicine, Chungnam National University Hospital) ;
  • Lee, June-Kyu (Department of Orthopaedic Surgery, College of Medicine, Chungnam National University Hospital) ;
  • Kim, Young-Mo (Department of Orthopaedic Surgery, College of Medicine, Chungnam National University Hospital) ;
  • Lee, Jang-Ik (Department of Orthopaedic Surgery, College of Medicine, Chungnam National University Hospital) ;
  • Jong, Jae-Tack (Department of Orthopaedic Surgery, College of Medicine, Chungnam National University Hospital)
  • 신현대 (충남대학교 의과대학 정형외과학교실) ;
  • 이광진 (충남대학교 의과대학 정형외과학교실) ;
  • 이준규 (충남대학교 의과대학 정형외과학교실) ;
  • 김영모 (충남대학교 의과대학 정형외과학교실) ;
  • 이장익 (충남대학교 의과대학 정형외과학교실) ;
  • 정재택 (충남대학교 의과대학 정형외과학교실)
  • Published : 1998.03.30
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Abstract

We treated 19 cases of unicameral bone cysts with methylprednisolone acetate (MPA) from January 1988 to December 1995. We evaluated the effect of MPA injections through simple follow-up radiographs according to Oppenheim's, classification and retrospectively reviewed the sites of cyst, age of the patients at diagnosis, the incidence of pathologic fracture, cystic nature, and cystic proximiy to the growth plate, We then analyzed the relationship between these variables with the results of MPA injections. According to Oppenheim's classification, the results with the use of MPA injections were as follows: healed in six cases, improved in seven cases, incomplete obliteration in five cases and recurred in one case, If healed and improved were considered satisfactory results, then 13 cases(68.4%) were satisfactory at the last follow-up. Sites of cyst, age of the patients at diagnosis, incidence of pathologic fracture, cystic nature and cystic proximiy to the growth plate appeared not to influence the results of MPA injections statistically. On these data, we thought that the treatment of unicameral bone cysts with MPA injection was the most effective first choice of treatment before operative options such as curettage and bone graft.

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