Summary
We report a case of multiple, simple bone cysts in long tubular, short tubular, and flat bones. The internal pressure of the cysts and the oxygen tension of cyst fluid were measured simultaneously. These values were similar to those of typical solitary cysts in other patients. Curettage and bone graft onto the calcaneal cyst were effective, although steroid injection therapy into the metacarpal cyst had no effect. Piercing the ulnar and radial cysts a number of times was uniformly effective. These results may suggest that venous obstruction of the lesions play an important role in the etiology of multiple simple cysts, as shown in typical bone cysts. However, we could not exclude the possibility that simple bone cysts, solitary or multiple, represent some kind of secondary forms of other disorders, or that a simple bone cyst is a heterogeneous entity.
Zusammenfassung
Es wird über einen Fall von multiplen Knochenzysten berichtet, die sowohl in langen und kurzen Röhrenknochen als auch in platten Knochen lokalisiert waren. Simultane Messungen des Zystenbinnendruckes und der Sauerstoffspannung der Zystenflüssigkeit ergaben ähnliche Werte wie bei typischen solitären Knochenzysten. Kürettage und Knochentransplantation waren bei der Kalkaneuszyste erfolgreich, während die Steroidinjektion in die Metakarpalzyste keinen Effekt hatte. Multiples Anbohren der Ulna- und Radiuszysten war in gleicher Weise effektiv. Diese Resultate lassen vermuten, daß auch in der Ätiologie der multiplen Zysten möglicherweise die venöse Abbflußbehinderung eine wichtige Rolle spielt, wie dies für typische solitäre Knochenzysten gezeigt werden konnte. Es kann jedoch die Möglichkeit nicht ausgeschlossen werden, daß einfache Knochenzysten, solitär oder multipel, so etwas wie eine sekundäre Form anderer Erkrankungen darstellen oder daß es sich bei den einfachen Knochenzysten doch um eine heterogene Gruppe von Veränderungen handelt.
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Chigira, M., Takehi, Y., Nagase, M. et al. A case of multiple simple bone cysts. Arch. Orth. Traum. Surg. 106, 390–393 (1987). https://doi.org/10.1007/BF00456876
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DOI: https://doi.org/10.1007/BF00456876