Aneurysmal Bone Cyst of the Clavicle: A Case Report

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2023 Sep 7

PMID 37678034

Authors

Abdulrahman Jalwi Korkoman

Abdulaziz Ali Alqahtani

Affiliations

Soon will be listed here.

Abstract

Introduction: An aneurysmal bone cyst (ABC) is a locally aggressive primary bone neoplasm. ABC of the clavicle is rare with only a few reported cases in the literature.

Presentation Of Case: We report the case of a 10-year-old boy who presented with an ABC at the right acromial end of the clavicle. The patient underwent intralesional curettage and allogenic bone grafting. Moreover, the patient's arm was placed in a sling for 2 weeks postoperatively. The patient had a satisfactory outcome after 11 years, with excellent Toronto Extremity Salvage, Quick-Dash, and Musculoskeletal Tumor Society scores.

Discussion: Clavicular ABCs are uncommon. Early diagnosis helps to prevent pathological fractures. Adjuvant therapies might help decrease recurrence.

Conclusion: ABC should be considered an important differential diagnosis for clavicular swelling and masses. The best results can be achieved using curettage and void-filled bone grafts.

Level Of Evidence: 4:

References

James A, COLEY B, HIGINBOTHAM N . Solitary, unicameral, bone cyst. Arch Surg (1920). 1948; 57(1):137-47. DOI: 10.1001/archsurg.1948.01240020140011. View

Kapoor S, Tiwari A, Kapoor S . Primary tumours and tumorous lesions of clavicle. Int Orthop. 2007; 32(6):829-34. PMC: 2898940. DOI: 10.1007/s00264-007-0397-7. View

Novais E, Rose P, Yaszemski M, Sim F . Aneurysmal bone cyst of the cervical spine in children. J Bone Joint Surg Am. 2011; 93(16):1534-43. DOI: 10.2106/JBJS.J.01430. View

Kaiser C, Yeung C, Raskin K, Lozano-Calderon S . Aneurysmal bone cyst of the clavicle: a series of 13 cases. J Shoulder Elbow Surg. 2018; 28(1):71-76. DOI: 10.1016/j.jse.2018.06.036. View

Ren K, Wu S, Shi X, Zhao J, Liu X . Primary clavicle tumors and tumorous lesions: a review of 206 cases in East Asia. Arch Orthop Trauma Surg. 2012; 132(6):883-9. DOI: 10.1007/s00402-012-1462-2. View

Martinez V, Sissons H . Aneurysmal bone cyst. A review of 123 cases including primary lesions and those secondary to other bone pathology. Cancer. 1988; 61(11):2291-304. DOI: 10.1002/1097-0142(19880601)61:11<2291::aid-cncr2820611125>3.0.co;2-v. View

Mankin H, Hornicek F, Ortiz-Cruz E, Villafuerte J, Gebhardt M . Aneurysmal bone cyst: a review of 150 patients. J Clin Oncol. 2005; 23(27):6756-62. DOI: 10.1200/JCO.2005.15.255. View

Park H, Yang S, Sheppard W, Hegde V, Zoller S, Nelson S . Current management of aneurysmal bone cysts. Curr Rev Musculoskelet Med. 2016; 9(4):435-444. PMC: 5127951. DOI: 10.1007/s12178-016-9371-6. View

Agha R, Franchi T, Sohrabi C, Mathew G, Kerwan A . The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines. Int J Surg. 2020; 84:226-230. DOI: 10.1016/j.ijsu.2020.10.034. View

10.

Dormans J, Hanna B, Johnston D, Khurana J . Surgical treatment and recurrence rate of aneurysmal bone cysts in children. Clin Orthop Relat Res. 2004; (421):205-11. DOI: 10.1097/01.blo.0000126336.46604.e1. View

11.

Clayer M, Doyle S, Sangha N, Grimer R . The toronto extremity salvage score in unoperated controls: an age, gender, and country comparison. Sarcoma. 2012; 2012:717213. PMC: 3458276. DOI: 10.1155/2012/717213. View

12.

Leithner A, Windhager R, Lang S, Haas O, Kainberger F, Kotz R . Aneurysmal bone cyst. A population based epidemiologic study and literature review. Clin Orthop Relat Res. 1999; (363):176-9. View

13.

Gummesson C, Ward M, Atroshi I . The shortened disabilities of the arm, shoulder and hand questionnaire (QuickDASH): validity and reliability based on responses within the full-length DASH. BMC Musculoskelet Disord. 2006; 7:44. PMC: 1513569. DOI: 10.1186/1471-2474-7-44. View

14.

Biesecker J, Marcove R, Huvos A, Mike V . Aneurysmal bone cysts. A clinicopathologic study of 66 cases. Cancer. 1970; 26(3):615-25. DOI: 10.1002/1097-0142(197009)26:3<615::aid-cncr2820260319>3.0.co;2-i. View

15.

Haque M, Mansur D, Sharma K . Study on curvatures of clavicle with its clinical importance. Kathmandu Univ Med J (KUMJ). 2012; 9(36):279-82. DOI: 10.3126/kumj.v9i4.6344. View