[Skip to Content]
[Skip to Content Landing]
Article
May 1943

AN OPERATION FOR BENIGN CYST OF THE UPPER HUMERAL METAPHYSIS

Arch Surg. 1943;46(5):759-761. doi:10.1001/archsurg.1943.01220110175027

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

A benign cyst (osteitis fibrosa cystica localisata) of the upper end of the humeral shaft may be so large that fixation following curettage and packing with bone presents some difficulties, especially when the wall of the cyst is very thin and fracture is present or imminent.

Two such cysts were recently dealt with by me in a manner which I have not seen described heretofore. The method is presented because it seemed to meet the requirements, mechanical and therapeutic, in a satisfactory manner.

In each case (figs. 1 A and 2 A) the cyst was approached anteriorly, the biceps muscle being reflected medially, the deltoid muscle laterally. The periosteum was carefully reflected medially and laterally to a point about 3 cm. below the distal end of the cyst. A vertical slot was made in the anterior wall of the cyst, exposing the interior, and through this the fluid and the

First Page Preview View Large
First page PDF preview
First page PDF preview
×