Academic Journal
Navigation-Assisted Extra-articular Approach for Curettage of a Subchondral Bone Cyst of the Humeral Trochlea.
| Τίτλος: | Navigation-Assisted Extra-articular Approach for Curettage of a Subchondral Bone Cyst of the Humeral Trochlea. |
|---|---|
| Συγγραφείς: | Miyake T; From the Department of Orthopedic Surgery, The University of Osaka Graduate School of Medicine, Suita, Japan (Dr. Miyake, Dr. Shiode, Dr. Miyamura, Dr. Iwahashi, Dr. Yamamoto, Dr. Kondo, and Dr. Okada); the Department of Orthopedic Biomaterial Science, The University of Osaka Graduate School of Medicine, Suita, Japan (Dr. Oka); the Department of Orthopedic Surgery, Bell Land General Hospital, Sakai, Japan (Dr. Murase); and the Department of Sports Medical Science, The University of Osaka Graduate School of Medicine, Suita, Japan (Dr. Tanaka)., Shiode R, Oka K, Miyamura S, Iwahashi T, Yamamoto N, Kondo H, Murase T, Okada S, Tanaka H |
| Πηγή: | Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews [J Am Acad Orthop Surg Glob Res Rev] 2026 Jul 28; Vol. 10 (8). Date of Electronic Publication: 2026 Jul 28 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 101724868 Publication Model: eCollection Cited Medium: Internet ISSN: 2474-7661 (Electronic) Linking ISSN: 24747661 NLM ISO Abbreviation: J Am Acad Orthop Surg Glob Res Rev Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [Philadelphia, PA] : Wolters Kluwer Health, Inc., [2017]- |
| Ιατρικοί όροι (MeSH): | Bone Cysts*/surgery , Bone Cysts*/diagnostic imaging , Curettage*/methods , Humerus*/surgery , Humerus*/diagnostic imaging , Elbow Joint*/surgery , Elbow Joint*/diagnostic imaging , Surgery, Computer-Assisted*/methods, Arthroscopy/methods ; Humans ; Young Adult ; Tomography, X-Ray Computed ; Male |
| Περίληψη: | Subchondral bone cysts are intraosseous cystic lesions typically associated with degenerative joint diseases in weight-bearing joints; however, their occurrence in the humeral trochlea is extremely rare. We report a case of a 19-year-old Japanese archer who presented with a 2-year history of right elbow pain. CT revealed an 8- × 4- × 4-mm cystic lesion with partial disruption of the subchondral bone plate on the lateral aspect of the humeral trochlea. As arthroscopic access is technically challenging and intra-articular curettage through the joint surface would damage the cartilage, a navigation-assisted extra-articular approach was selected. A patient-specific three-dimensional surgical plan was designed to achieve cylindrical excision of the lesion and was reconstructed with a β-tricalcium phosphate bone substitute. Postoperative CT scans confirmed complete removal of the cyst. Postoperatively, the patient's elbow pain gradually improved and had completely resolved at 14 months. This case demonstrates that navigation-assisted extra-articular curettage is a feasible technique for treating deep subchondral bone cysts of the humeral trochlea while preserving the articular cartilage. (Copyright © 2026 The Authors. Published by Wolters Kluwer Health, LLC. on behalf of the American Academy of Orthopaedic Surgeons.) |
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| Grant Information: | JP24K19577 Japan Society for the Promotion of Science |
| Entry Date(s): | Date Created: 20260806 Date Completed: 20260806 Latest Revision: 20260813 |
| Update Code: | 20260814 |
| PubMed Central ID: | PMC13395509 |
| DOI: | e26.00107 |
| PMID: | 42562356 |
| Βάση Δεδομένων: | MEDLINE |
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