23150 Excision or curettage of bone cyst or benign tumor of proximal humerus

Name of the Procedure:

Excision or Curettage of Bone Cyst or Benign Tumor of Proximal Humerus

Summary

This procedure involves surgically removing or scraping out a non-cancerous bone cyst or tumor located in the upper part of the humerus (upper arm bone). It aims to treat or alleviate symptoms related to the growth, such as pain or weakened bone structure.

Purpose

The procedure is primarily performed to remove benign (non-cancerous) bone cysts or tumors in the proximal humerus. The goal is to alleviate pain, prevent fractures, and restore the normal function of the arm.

Indications

• Persistent pain in the upper arm
• Swelling or noticeable lump on the proximal humerus
• Weakness or limited use of the arm
• Risk of bone fracture due to the cyst or tumor
• Abnormal imaging results (X-ray, MRI) showing a cyst or tumor

Preparation

• Fasting for at least 6-8 hours prior to the procedure
• Adjustments to current medications as directed by the physician
• Pre-operative blood tests and imaging studies (X-ray, MRI, or CT scan)
• Discussion of anesthesia options with the anesthesiologist

Procedure Description

1. The patient is given anesthesia (either general or local with sedation).
2. The surgeon makes an incision over the proximal humerus.
3. Using specialized surgical tools, the surgeon carefully removes or scrapes out the bone cyst or tumor.
4. Bone graft material may be used to fill the cavity left by the removed cyst/tumor.
5. The incision is closed with sutures or staples and covered with a sterile bandage.

Duration

The procedure typically takes 1 to 2 hours, depending on the complexity and size of the cyst or tumor.

Setting

The procedure is performed in a hospital or a surgical center with the necessary facilities.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Operating room technicians

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Damage to surrounding nerves or blood vessels
• Adverse reactions to anesthesia
• Incomplete removal of the cyst or tumor, requiring additional surgery

Benefits

• Relief from pain and discomfort
• Reduced risk of bone fracture
• Improved arm function and range of motion
• Prevention of cyst or tumor growth

Recovery

• Post-operative care includes pain management (medications) and wound care.
• Physical therapy may be advised to restore arm strength and mobility.
• Most patients can return to normal activities within 4-6 weeks, with some restrictions on heavy lifting or strenuous use of the arm.
• Follow-up appointments to monitor healing and ensure no recurrence of the cyst/tumor.

Alternatives

• Watchful waiting with regular monitoring if the cyst/tumor is asymptomatic and small.
• Percutaneous needle aspiration to drain the cyst.
• Non-surgical treatments, such as steroid injections.
• Each alternative has its own pros and cons, including varying success rates and potential for recurrence.

Patient Experience

During the procedure, under anesthesia, the patient will not feel any pain. Post-operatively, some discomfort and soreness are expected at the surgical site. Pain can be managed with prescribed medication, and most patients experience significant pain relief as they heal. Comfort measures such as ice packs and arm elevation can help reduce swelling and discomfort.