Endoscopic High-speed Curettage and Bone Grafting of Unicameral Bone Cyst in Young Children: A Case Report

Abstract

Curettage and bone grafting are the most effective methods used in the treatment of unicameral and aneurysmal bone cysts. Endoscopic curettage and bone grafting are minimally invasive methods for the treatment of these bone cysts. We report a case report of a unicameral bone cyst of the calcaneus in a 9-year-old girl treated successfully with endoscopic high-speed curettage and bone grafting. Complete healing of the unicameral bone cyst of the calcaneus, according to the Modified Neer’s Classification Scale, was achieved 4.5 months postoperatively. Complete healing without recurrence, in 5 years follow-up, was evident. Endoscopic high-speed curettage allows a precise, thorough, and aggressive resection of the cyst’s tumor tissue, which is the key to successful and complete healing of the cysts. For the successful endoscopic bone cyst curettage, radiographic control guidance is necessary to avoid growth plate damage. Level of Evidence: Diagnostic Level IV—therapeutic study. See Instructions for Authors for a complete description of levels of evidence.