Evidence map›Paper›PMID 32019514›Full record

ArticleBMC musculoskeletal disorders2020

Treatment of simple bone cysts of the humerus by intramedullary nailing and steroid injection.

Peng Zhang, Naiqiang Zhu, Lilong Du, Jihui Zheng, Sibin Hu, Baoshan Xu

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Uncommon Bone Injuries in Soccer Players.Journal of human kinetics · 2021
    Article
  13. Review
  14. What's new in musculoskeletal oncology.BMC musculoskeletal disorders · 2021
    Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Peng ZhangGraduate School, Tianjin Medical University, Heping District, Tianjin, 300070, People's Republic of China.
Naiqiang ZhuGraduate School, Tianjin Medical University, Heping District, Tianjin, 300070, People's Republic of China.
Lilong DuDepartment of Orthopedics, Tianjin Hospital, Jiefang South Road 406, Hexi district, Tianjin, 300211, People's Republic of China.
Jihui ZhengDepartment of Orthopedics, Cangzhou Hospital of Integrated TCM-WM·Hebei, Cangzhou, Hebei, 061000, People's Republic of China.
Sibin HuDepartment of Orthopedics, Cangzhou Hospital of Integrated TCM-WM·Hebei, Cangzhou, Hebei, 061000, People's Republic of China.
Baoshan XuDepartment of Orthopedics, Tianjin Hospital, Jiefang South Road 406, Hexi district, Tianjin, 300211, People's Republic of China. xubaoshantj@outlook.com.ORCID http://orcid.org/0000-0001-9595-0276
People's Hospital of Cangzhou · CNTianjin Hospital · CNTianjin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSimple bone cysts (SBCs) are common benign lytic bone lesions in children. This study focused on exploring a clinical treatment method, minimally invasive intramedullary decompression and drainage with elastic stable intramedullary nailing (ESIN) combined with intralesional injections of steroids, and evaluated its effectiveness, complications and morbidity through functional and radiographic outcomes.

methodsThe postoperative recovery of 18 children who suffered from SBCs of humerus was evaluated (mean follow-up, 40 months) from January 2009 to December 2016. These patients (11 males, 7 females; 8 in the left, 10 in the right; mean age, 10.9 years old) were treated with minimally invasive intramedullary decompression and drainage with ESIN combined with intralesional injections of steroids. The diagnosis was based on not only pre-operative typical medical images (X-rays/CT/MRI) but also surgical findings and pathological diagnosis. Radiological and functional outcomes were evaluated according to Capanna and Musculoskeletal Tumor Society (MSTS) score. The interclass differences were analyzed by t-test.

resultsAccording to Capanna and MSTS criteria, after treatment, 14 patients made full recoveries which was presented by all the cysts filled with bone tissue, and 4 patients made partially recoveries, which were presented by cystic spaces partially filled with low density bone. All the cysts responded to treatment method, and there was no cyst recurrence. All except 2 patients had good functional results. One of the two patients had irritation of the end of the nail and one patient had a valgus deformity.

conclusionsTreatment for SBCs of humerus by minimally invasive intramedullary decompression and drainage with ESIN combined with intralesional injections of steroids is safe, effective and convenient. The clinical effect is satisfactory and worth popularizing.

Indexed as

AdolescentBone CystsBone NailsChildCombined Modality TherapyDecompression, SurgicalDrainageFemaleFollow-Up StudiesGlucocorticoidsHumansHumerusInjections, IntralesionalMagnetic Resonance ImagingMaleMinimally Invasive Surgical ProceduresGlucocorticoidsChildrenCombination therapyESINSimple bone cyst of humerusSteroids

Identifiers

PMID32019514
PMCPMC7001273
OpenAlexW3008573811

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.