Fig. 1From: Treatment of aneurysmal bone cysts using endoscopic curettageFlow diagram of patient selection for ESC treatment for ABC. For cases of atypical radiological appearance of an ABC, we proceeded with open biopsy to exclude the presence of a giant cell tumor, telangiectatic osteosarcoma, or other malignant bone tumor with a cyst. Moreover, to prevent femoral fracture after ESC, we proceeded with open curettage and artificial bone grafting, with or without internal fixation, for cases of large cystic lesions (lesion/cortex ratio > 2/3) located in the femoral trochanter (details provided in the Discussion). For ABCs at all other locations where a pathological fracture was visible at the time of the initial diagnosis, ESC was performed after bone union. Ultimately, 30 patients underwent ESC without an artificial bone graft. *1. In 5 cases, curettage with βTCP (OSferion; Olympus Co., Tokyo, Japan) was performed after intraoperative open biopsy for confirmation of ABC. This was because giant cell tumors were first suspected in 4 cases, and a cystic lesion that arose in an unusual location (clavicle) was not regarded as ABC according to the diagnosis indicated by preoperative imaging. *2: An ABC with a large cystic lesion (lesion/cortex ratio > 2/3) located in the femoral trochanter was regarded as a contraindication for ESCBack to article page