The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Non-spinal Hydatid Disease of Bone: A Series of Nine Cases

Document Type : RESEARCH PAPER

Authors
Khodamorad Jamshidi 1
Farshad Zandrahimi 2
Milad Haji Agha Bozorgi 1
Seyed Farzam Mirkamali 1
Abbas Esmaeli Dahaj 1
Alireza Mirzaei 1
1 Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
2 1 Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran 2 Kerman University of Medical Sciences, Kerman, Iran
10.22038/abjs.2021.54448.2717
Abstract
Background: Extra-spinal osseous hydatid disease is reported in a small number of case series. In the present study, 
we report our experience with extra-spinal hydatid disease of the bone in a series of nine patients.
Methods: In this retrospective study, the patients who were diagnosed with an extra-spinal osseous hydatid disease 
were included. All patients were treated surgically. Preoperative anthelmintic drugs were employed for the cysts that 
were diagnosed before the operation. Postoperative chemotherapy was performed for all patients.
Results: The study population included nine patients, including seven males and two females, with a mean age of 
45.2±7.9 years and an average follow-up of 4.1±2.7 years. Non-specific pain was the most common symptom at 
presentation. Pelvic bones were the most frequent site of involvement. Serologic tests were false negative in seven 
patients. The disease was diagnosed preoperatively in five patients, and all of them were located in flat bones. The 
cysts were treated by radical excision in four patients, extended curettage in four patients, and amputation in one 
patient. The recurrence of the lesion was recorded in two patients who were treated by intralesional curettage. One 
case of suppuration was the only postoperative complication of this series.
Conclusion: Osseous hydatid disease is a serious disease with challenging diagnosis, difficult treatment, and 
significant morbidity. Preoperative diagnosis is generally easier in flat bones. Radical resection is the optimal treatment 
of this disease, while non-radical resection is associated with a higher risk of recurrence. 
 
Level of evidence: II
Keywords
Bone
Hydatid disease
Treatment
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The Archives of Bone and Joint Surgery
Volume 10, Issue 5
May 2022
Pages 447-452

  • Receive Date 24 December 2020
  • Revise Date 29 August 2021
  • Accept Date 16 September 2021