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Journal of Bone and Joint Surgery, 1944;26:337-344.
© 1944 by The Journal of Bone and Joint Surgery, Inc

THE SOLITARY BONE CYST

A Report of a Case of Twenty Years' Duration

Samuel Kleinberg M.D., F.A.C.S.1

1 NEW YORK, N. Y.

From his experience, the author feels that solitary bone cysts may exist for many years, and that they do not heal spontaneously. At varying periods of time, the process of bone erosion may become active, and weaken the bone so that there remains only a thin bony shell subject to fracture from a comparatively mild trauma caused by a direct blow or muscle effort. From this observation, and from the known operative results, it is evident that the treatment of choice is an operation, the essentials of which are the thorough scarification of the bony cyst wall, and the filling of the cavity with bone grafts of cancellous and cortical bone. The operation should be performed as soon as the diagnosis has been established. It should be emphasized that every part of the cavity should be thoroughly curetted, and the cavity should then be completely filled with bone grafts.


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