Percutaneous Sclerotherapy of Diaphyseal Aneurysmal Bone Cyst of Tibia in a Child

Aneurysmal bone cysts (ABCs), though benign, are locally aggressive. ABCs may cause symptoms such as painful limping and may lead to pathological fractures. Traditional surgical methods of treatment have an increased risk of recurrence, morbidity, and longer hospital stays. While selective arterial embolization can be performed, it may not be feasible in resource-limited conditions. Percutaneous image-guided sclerotherapy of the ABCs can be an effective treatment option. This case report describes a minimally invasive technique for percutaneous sclerotherapy of a tibial diaphyseal aneurysmal bone cyst using a combination of polidocanol and gelatin sponge slurry as a cost-effective and minimally invasive method.