Aneurysmal bone cyst of the third metatarsal treated by using free non-vascular transfer of the fibula segment

Abstract

Here, we present a case of aneurysmal bone cyst of the third metatarsal that has been infrequently reported in the literature. Its characteristics can mimic various other bone tumors. While the radiographic appearance usually typifies this lesion, microscopic evaluation is paramount for a definitive diagnosis. There are various treatment alternatives for this lesion depending on size, patient's age and localization. In this report, we recommend total excision of the lesion and reconstruction of the defect by transfer of fibular segment. We obtained satisfactory clinical and radiological results, after 3 years of postoperative evaluation. © Springer-Verlag 2005.