Abstract
The surgical procedures for unicameral solitary calcaneal bone cysts have ranged from
simple curettage and grafting to subperiosteal resection with internal fixation and
grafting. In this article, an endoscopically assisted technique is proposed for the
curettage of a simple calcaneal cyst that takes advantage of direct visualization
of the cyst wall and contents and permits accurate assessment of the extent of the
lesion. After curettage, percutaneous filling of the defect with corticocancellous
allograft makes the technique a complete, minimally invasive surgical approach for
this condition. The technique uses 2 lateral portals, one for viewing and the other
for manipulation, both of which are created under fluoroscopic control. Once the cyst
has been located, the 30° arthroscope is used to evacuate fluid, after which more
solid cyst contents are fragmented and removed. Thereafter, curettage of the inner
surface of the cavernous cyst wall is performed. Finally, complete packing of the
previously cystic cavity with crushed corticocancellous allograft is performed under
endoscopic visualization and confirmed radiographically.
Keywords
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Article info
Footnotes
“Tips, Quips, and Pearls” is a special section in The Journal of Foot & Ankle Surgery which is devoted to the sharing of ideas to make the practice of foot and ankle surgery easier. We invite our readers to share ideas with us in the form of special tips regarding diagnostic or surgical procedures, new devices or modifications of devices for making a surgical procedure a little bit easier, or virtually any other “pearl” that the reader believes will assist the foot and ankle surgeon in providing better care. Please address your tips to: D. Scot Malay, DPM, MSCE, FACFAS, Editor, The Journal of Foot & Ankle Surgery, PO Box 590595, San Francisco, CA 94159-0595; E-mail:
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
