Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2023; 11(26): 6170-6175
Published online Sep 16, 2023. doi: 10.12998/wjcc.v11.i26.6170
Surgery for fibrous dysplasia associated with aneurysmal-bone-cyst-like changes in right proximal femur: A case report
Lun-Li Xie, Xiao Yuan, Hong-Xia Zhu, Dan Pu
Lun-Li Xie, Department of Joint and Hand Orthopedics, Hunan University of Medicine General Hospital, Huaihua 418000, Hunan Province, China
Xiao Yuan, Department of Joint and Hand Surgery, Hunan University of Medicine General Hospital, Huaihua 418000, Hunan Province, China
Hong-Xia Zhu, Department of Traumatic Orthopedics, Hunan University of Medicine General Hospital, Huaihua 418000, Hunan Province, China
Dan Pu, Department of Orthopedics, Hunan University of Medicine General Hospital, Huaihua 418000, Hunan Province, China
Author contributions: Xie LL designed, drafted and revised the manuscript; Pu D approved the final version; Yuan X, and Zhu HX acquired data and played an important role in interpreting the results; all authors contributed equally to this work, and have read and approved the final manuscript.
Supported by The Scientific Program of the Health and Family Planning Commission of Hunan Province, China, No. C20190940; and The Science and Technology Planning Project of Huaihua, China, NO.2021R3117.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lun-Li Xie, MD, Doctor, Department of Joint and Hand Orthopedics, Hunan University of Medicine General Hospital, No. 144 Jinxi South Road, Huaihua 418000, Hunan Province, China. xielunli@163.com
Received: May 6, 2023
Peer-review started: May 6, 2023
First decision: August 2, 2023
Revised: August 3, 2023
Accepted: August 11, 2023
Article in press: August 11, 2023
Published online: September 16, 2023
Processing time: 124 Days and 21.4 Hours
Abstract
BACKGROUND

Fibrous dysplasia associated with aneurysmal bone cyst (ABC)-like changes in the right proximal femur has a low incidence. It is considered more difficult to make early diagnosis than for single fibrous dysplasia.

CASE SUMMARY

A 14-year-old woman was admitted because of persistent pain in the right hip and abnormal gait over the previous 2 mo. She had no history of present or past illness. Preoperative photography, enhanced computed tomography, and magnetic resonance imaging showed ground-glass appearance with cortical scalloping and expansion of the right proximal femur and femoral neck. Pathological examination by preoperative puncture biopsy revealed fibrous dysplasia of the right proximal femur. The patient was diagnosed with fibrous dysplasia based on medical history, physical examination, and results of laboratory, imaging and pathological examinations. According to final pathological examination, the patient was diagnosed with fibrous dysplasia of the right proximal femur associated with ABC. Curettage and allograft along with fixation of compression screws was performed for fibrous dysplasia associated with ABC-like changes. No obvious allograft absorption, loosening of fixation, or secondary fracture were observed during 6-months’ follow-up with re-examination by plain radiography and computed tomography. Fibrous dysplasia associated with ABC-like changes in the right proximal femur has a low incidence and early diagnosis is considered more difficult than for single fibrous dysplasia.

CONCLUSION

We report a cases of fibrous dysplasia associated with ABC-like changes in the right proximal femur treated with curettage and allograft along with hip compression screws.

Keywords: Fibrous dysplasia; Aneurysmal bone cyst; Curettage; Allograft; Hip compression screws; Case report

Core Tip: The incidence of fibrous dysplasia associated with aneurysmal bone cyst-like changes in the right proximal femur is low. It is considered more difficult to make early diagnosis than for single fibrous dysplasia. For fibrous dysplasia, curettage and allograft combined with internal fixation are the gold-standard treatments. The therapeutic options for aneurysmal bone cyst (ABC) include curettage with or without adjuncts, bone grafting or bone substitutes, image-guided sclerotherapy with various sclerosing agents, and monoclonal antibodies. We here report a case of fibrous dysplasia associated with ABC-like changes in the right proximal femur treated with curettage and allograft along with hip compression screws.