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January 1947

PROGRESS IN ORTHOPEDIC SURGERY FOR 1945 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: III. TUMORS OF BONE AND OF SYNOVIAL MEMBRANE

Author Affiliations

ROCHESTER, MINN.; Fellows in Orthopedic Surgery, Mayo Foundation
From the Section on Orthopedic Surgery, Mayo Clinic.

Arch Surg. 1947;54(1):102-116. doi:10.1001/archsurg.1947.01230070105010

Osteitis Fibrosa Cystica.  —Krigsten and Phalen46 report 3 cases of fibrocystic disease of the femur in young soldiers. Treatment by means of curettage and bone graft gave satisfactory results. Pathologic fractures were the first evidence of the lesion in 2 of the cases. The authors state the opinion that cysts of bone arise as a result of localized congenital abnormality rather than as the result of hemorrhage. They distinguish two types of cysts of bone: the first, the fluid-filled, true cystic type lined by connective tissue and, the second, the fibrous "solid" type. They state the belief that the fluid type is more likely to occur near the metaphysis and the solid type in the shaft of a bone. They point out that a pathologic fracture occurring in the bone involved by a cyst always heals but that the cyst remains and another fracture may occur unless the cavity