Triple Methylprednisolone Injections for Simple Humerus Cysts at One-month Intervals


Okmeydanı Tıp Dergisi, vol.34, no.2, pp.132-136, 2018 (Peer-Reviewed Journal) identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 2
  • Publication Date: 2018
  • Doi Number: 10.5222/otd.2018.34654
  • Journal Name: Okmeydanı Tıp Dergisi
  • Journal Indexes: TR DİZİN (ULAKBİM)
  • Page Numbers: pp.132-136
  • Istanbul Medipol University Affiliated: Yes


Objective: The aim of this study was to retrospectively assesstreatment of humerus simple cysts in the childhoodperiod with 3 methylprednisolone injections at monthlyintervals.Material and Method: A total of 38 patients with simplehumerus bone cyst were included in the study. Twenty patientswere girls and 18 were boys. The mean age was 7.8(4-14) years. Under anesthesia patients had methylprednisoloneadministered three times at the thinnest point ofthe cortex under fluoroscopy control. Early movement wasbegun and they were discharged on the same day. Healingwas assessed according to the Neer classification.Results: Patients were monitored for mean 32 months (12-60). Thirty-one (81.5%) patients recovered. 21 were classifiedas Neer type 1, 10 were Neer type 2, and 6 were Neertype 3. A fracture developed in a patient classified as Neertype 4. Three patients developed color changes on the skinafter the 3rd injection. Two patients (5%) were identified tohave unequal upper extremity lengths.Conclusions: The low cost and complication rate and shorthospital stay have added to the popularity of humerus simplecyst treatment with methylprednisolone injection. Withdifferent administration forms, 3 methylprednisolone treatmentsat one month intervals is a very effective method.