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Journal of Bone and Joint Surgery, 1968;50:365-372.
© 1968 by The Journal of Bone and Joint Surgery, Inc

Keratin Cysts in Phalangeal Bones

REPORT OF AN UNUSUAL CASE

MARGUERITE R. LERNER M.D.1 and WAYNE O. SOUTHWICK M.D.1

1 From the Section of Dermatology, Department of Medicine, and the Section of Orthopaedic Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut

A patient with an instraphalangeal keratin cyst that became troublesome four and one-half years after removal of an enchondroma at the same site has been described. In addition, keratin cysts in bone reported between August 1923 and April 1967 have been analyzed according to the age and sex of the patient, location of the lesion, history of trauma, roentgen findings, treatment, and histopathological diagnosis. Regrettably, amputation was performed for twenty-seven of the eighty-four cysts recorded. Recommended treatment is excision of the cyst, curettage, and packing with bone chips.


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