Bone Cysts Flashcards

1
Q

Types of bone cysts

A

1- unicameral
2- aneurysmal
3- ganglion
4- hydatid
5-epidermoid

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2
Q

Def of unicameral bone cyst

A

Benign condition of bone cyst

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3
Q

Common age and sites of unicameral bone cyst

A

In children and adults
In the metaphysis of upper end of femur and humerus

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4
Q

Gross picture of unicameral bone cyst

A

Unilocular with smooth inner suface filled with clear fluid
It expands causing thinning of cortex

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5
Q

Microscopic picture of unicameral bone cyst

A

The wall Consists of collagen and osteoclast giant cell and new bone formation

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6
Q

Def of aneurysmal bone cyst

A

True to its name , expanding osteolytic lesion filled with blood

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7
Q

Common site of aneurysmal bone cyst

A

Diaphysis and metaphysis of long bone and vertebral column

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8
Q

Radiographic appearance of aneurysmal bone cyst

A

Ballooned out expansile lesion under neath periosteum

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9
Q

Gross picture of aneurysmal bone cyst

A

Large haemorrhagic mass covered by thinned out reactive bone

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10
Q

Microscopic picture of aneurysmal bone cyst

A

It consists of blood filled aneurysmal spaces of varable sizes some are lined by endotheliam separated by connective tissue septa containing osteiod tissue and osteoclast like multinucleated giant cells and new bone formation

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11
Q

Causative organism of Hydadit bone cyst

A

Echinococcus granulosus parasite

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12
Q

Describe ganglion bone cyst and inside it fluid

A

Small benign fluid filled cyst
Inside it there is sticky clear thick colorless jelly like material

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13
Q

Common site of ganglion cyst

A

Usually form on or near the joint or covering the tendon
Usually devolopes on the wrist but can appear on hand ankle or foot as a lump under the skin

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14
Q

Describe epidermoid cyst

A

Intramedullary unilocular cyst with squamous epithelium lining inside and filled with keratin
The mechanism of cyst formation is unknown

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15
Q

Common site of epidermoid cyst

A

Skull and terminal phalanges

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16
Q

How the epithelium ( squamous) got into the cyst

A

Either it’s traumatic implantation of epidermal fragments into the bone by any type of injury or due to migration of fragment of nail bed into phalangeal bone

17
Q

Def of pathological fracture

A

When a bone breaks due to weakness by another disease process

18
Q

Causes of pathological fracture

A

1- inflammatory disease ( all types of osteomyelitis)
2- osteodystrophies
3- metabolic bone disease
~ rickets
~ osteomalacia
~ hyperparathyrodism
~ treatment with steroids
4- bone tumours
5- bone cysts
6- radiotherapy causing bone necrosis