{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T13:14:08Z","timestamp":1783602848622,"version":"3.55.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: An aneurysmal bone cyst (ABC) is a benign, locally aggressive osteolytic lesion characterised by expansile blood-filled cavities separated by fibrous septa affecting the metaphyseal region of long bones in young individuals and accounting for approximately 1\u20132% of primary bone tumours. Proximal humerus involvement presents with reconstructive challenges due to the need to preserve shoulder biomechanics and rotator cuff function.\n\nCase Report: A 28-year-old female presented with progressive pain and swelling of the left shoulder for 5 months, with restricted overhead activity. Imaging showed an expansile metaphyseal lytic lesion (Capanna Type II). A prior biopsy was suggestive of ABC. Two trials of selective arterial embolisation failed to improve clinically and radiologically. Management included repeat pre-operative angioembolisation followed by en bloc resection. The defect was reconstructed using a 15-cm non-vascularised ipsilateral fibular strut graft stabilised with a PHILOS plate. Histopathology confirmed the diagnosis of ABC. Serial follow-up demonstrated graft incorporation and union with restoration of painless full shoulder motion.\n\nConclusion: Large proximal humerus ABCs require meticulous oncologic clearance combined with stable structural reconstruction. Pre-operative embolisation followed by en bloc excision, fibular strut grafting, and PHILOS fixation provides satisfactory functional and radiological outcomes.\n\nKeywords: Aneurysmal bone cyst, proximal humerus, fibular strut graft, PHILOS plate, En bloc resection, shoulder reconstruction.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i07.7644","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T12:21:22Z","timestamp":1783599682000},"page":"221-224","source":"Crossref","is-referenced-by-count":0,"title":["Aneurysmal Bone Cyst of the Proximal Humerus Managed with En Bloc Resection, Fibular Strut Grafting, and PHILOS Fixation: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Chinmay S.","family":"Torne","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep V.","family":"Gavhale","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijaysing","family":"Chandele","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandrashekhar R.","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alok P.","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal B.","family":"Karpe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T12:21:23Z","timestamp":1783599683000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/07\/aneurysmal-bone-cyst-of-the-proximal-humerus-managed-with-en-bloc-resection-fibular-strut-grafting-and-philos-fixation-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i07.7644","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}