Grenard N, Duparc F, Roussignol X, Chomant J, Muller J M, Dujardin F, Biga N
Département de Chirurgie Orthopédique Traumatologique et Plastique, CHU de Rouen, 1, rue de Germont, 76031 Rouen Cedex.
Rev Chir Orthop Reparatrice Appar Mot. 2001 Sep;87(5):503-5.
An osteoid osteoma was discovered at the site of fusion of a mid-third femoral shaft fracture in an 18-year-old girl. This unusual localization was revealed by persistent pain after ablation of the material after fracture healing. Postoperatively, a discharge from the skin wound that persisted for a few days, raised the differential diagnosis between low-grade bone infection and an osteoid osteoma suggested by the patient's age and the clinical presentation. Computed tomography and leukocyte-labeled bone scintigraphy provided the diagnosis of osteoid osteoma that was confirmed at pathology examination after resection. Isotopic mapping of this very small intraosseous lesion that exhibited strong isotope uptake was particularly contributive.
在一名18岁女孩股骨干中1/3骨折融合部位发现了骨样骨瘤。骨折愈合后切除相关组织后持续疼痛，揭示了这一不寻常的定位。术后，皮肤伤口有持续数天的分泌物，这增加了低级别骨感染与根据患者年龄及临床表现所怀疑的骨样骨瘤之间的鉴别诊断难度。计算机断层扫描和白细胞标记骨闪烁显像确诊为骨样骨瘤，切除术后病理检查得以证实。对这个显示出强烈同位素摄取的非常小的骨内病变进行同位素定位尤其有帮助。
