Understanding Bone Cysts

A Patient's Guide to Bone Cyst Diagnosis, Treatment, and Management

Orthopedics

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Last updated: Mar 24, 2025

What Is a Bone Cyst?

A bone cyst is a fluid-filled cavity that develops within a bone. These benign (non-cancerous) lesions most commonly occur in children and young adults.

Types of Bone Cysts

1. Unicameral Bone Cysts (Simple Bone Cysts)

  • Most common in children aged 5-15
  • Typically occur in long bones
  • Usually found in upper arm (humerus) or thigh bone (femur)

2. Aneurysmal Bone Cysts

  • Blood-filled cysts
  • Can expand and cause bone thinning
  • More aggressive than simple cysts

Common Symptoms

  • Often asymptomatic and discovered incidentally
  • Pain in the affected area
  • Swelling
  • Increased risk of fracture
  • Limited mobility in severe cases

Diagnosis

  1. X-rays
  2. CT scans
  3. MRI scans
  4. Bone biopsy (in certain cases)

Treatment Options

Conservative Treatment

  • Observation and monitoring
  • Regular follow-up X-rays
  • Activity modification

Surgical Interventions

  1. Steroid Injection

    • Minimally invasive
    • May require multiple treatments
  2. Bone Marrow Injection

    • Uses patient's own healing cells
    • Can promote natural healing
  3. Curettage and Bone Grafting

    • Removal of cyst
    • Filling cavity with bone graft

Recovery and Prognosis

  • Most bone cysts heal well with appropriate treatment
  • Regular follow-up important
  • Risk of recurrence varies by type
  • Full recovery possible in most cases

When to Seek Medical Attention

  • Persistent bone pain
  • Swelling in bones or joints
  • Unexplained fractures
  • Limited mobility

Prevention

  • Regular exercise for bone strength
  • Adequate calcium and vitamin D intake
  • Regular medical check-ups
  • Prompt attention to bone pain

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