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Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur

Several conditions can lead to the development of a subchondral cyst. The mechanism by which the cysts form, their location, and their severity depend on the underlying pathology, although the exact pathogenesis is not fully elucidated. Treatment options vary according to the location of the cyst, w...

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Autores principales: Potty, Anish G.R., Gupta, Ashim, Rodriguez, Hugo C., Stone, Ian W., Maffulli, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290357/
https://www.ncbi.nlm.nih.gov/pubmed/32384650
http://dx.doi.org/10.3390/jcm9051358
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author Potty, Anish G.R.
Gupta, Ashim
Rodriguez, Hugo C.
Stone, Ian W.
Maffulli, Nicola
author_facet Potty, Anish G.R.
Gupta, Ashim
Rodriguez, Hugo C.
Stone, Ian W.
Maffulli, Nicola
author_sort Potty, Anish G.R.
collection PubMed
description Several conditions can lead to the development of a subchondral cyst. The mechanism by which the cysts form, their location, and their severity depend on the underlying pathology, although the exact pathogenesis is not fully elucidated. Treatment options vary according to the location of the cyst, with less invasive procedures such as calcium phosphate cement injection to a joint arthroplasty when there is an extensive cyst in communication with the joint space. If the cyst is circumscribed, an intraosseous bioplasty (IOBP) can be performed. Described in this paper is an IOBP, a minimally invasive technique that preserves the joint and can be applied to most subchondral cysts. In our patient, both the appearance of the cyst at imaging and pain after IOBP greatly improved with the combined use of decompression and grafting. In those patients in whom conservative management fails to ameliorate symptoms, IOBP should be considered.
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spelling pubmed-72903572020-06-15 Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur Potty, Anish G.R. Gupta, Ashim Rodriguez, Hugo C. Stone, Ian W. Maffulli, Nicola J Clin Med Brief Report Several conditions can lead to the development of a subchondral cyst. The mechanism by which the cysts form, their location, and their severity depend on the underlying pathology, although the exact pathogenesis is not fully elucidated. Treatment options vary according to the location of the cyst, with less invasive procedures such as calcium phosphate cement injection to a joint arthroplasty when there is an extensive cyst in communication with the joint space. If the cyst is circumscribed, an intraosseous bioplasty (IOBP) can be performed. Described in this paper is an IOBP, a minimally invasive technique that preserves the joint and can be applied to most subchondral cysts. In our patient, both the appearance of the cyst at imaging and pain after IOBP greatly improved with the combined use of decompression and grafting. In those patients in whom conservative management fails to ameliorate symptoms, IOBP should be considered. MDPI 2020-05-06 /pmc/articles/PMC7290357/ /pubmed/32384650 http://dx.doi.org/10.3390/jcm9051358 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Potty, Anish G.R.
Gupta, Ashim
Rodriguez, Hugo C.
Stone, Ian W.
Maffulli, Nicola
Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur
title Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur
title_full Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur
title_fullStr Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur
title_full_unstemmed Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur
title_short Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur
title_sort intraosseous bioplasty for a subchondral cyst in the lateral condyle of femur
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290357/
https://www.ncbi.nlm.nih.gov/pubmed/32384650
http://dx.doi.org/10.3390/jcm9051358
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