[Ortho] Как правильно поступить со стопой

[maxim agalakov]

почему не попробовать инъекции стероидов, вроде до 90 проц успеха. 
"Steroid injection was introduced as a treatment option for unicameral 
bone cysts in the mid-1970s because the recurrence rate after curettage 
and bone grafting was approximately 50%. Steroid injection was described 
as an effective new treatment option that was inexpensive and involved 
less morbidity. The procedure is done with the patient heavily sedated 
or anesthetized. Fluoroscopic guidance is used to observe an 18-gauge 
spinal needle as it penetrates the cortex overlying the lesion at one 
end of the cyst; a second needle is placed at the opposite end. The 
diagnosis of a unicameral bone cyst is confirmed by the efflux of 
straw-colored cyst fluid. Many authors recommend that a cystogram be 
done using radiopaque dye and injecting each separate cavity if 
possible. Generally, 80 to 200 mg of methylprednisolone (Depo-Medrol; 
Upjohn, Kalamazoo, Mich) is used, depending on the size of the patient, 
the size of the lesion, and the age of the patient. This technique is 
believed to work either by an antiprostaglandin effect or by decreasing 
the pressure of the cyst. If the lesion does not show radiographic signs 
of healing in 2 months, repeat injections should be considered. More 
than 90% of patients can be treated successfully in this manner" - это 
из Canale& Beaty: Campbell's Operative Orthopaedics, 11th ed.
maxim agalakov