Braatz F, Popken F, Bertram Ch, Rütt J, Hackenbroch M H
Klinik und Poliklinik für Orthopädie der Universität zu Köln, Germany.
Handchir Mikrochir Plast Chir. 2002 Mar;34(2):128-32. doi: 10.1055/s-2002-32307.
Aneurysmal bone cysts of the hand skeleton are rare (only 3 to 4 % of all ABC; Tillmann and v. Torklus 1966 ) and require a differentiated treatment. In the presented case, the fourth metacarpal bone of the right hand was affected (Enneking stage 3). On account of its rapid growth, radical excision was performed and the resected metacarpal bone was replaced by a bicortical iliac crest graft. The bone graft healed in without complications, the functional result is satisfactory. On twelve-month follow-up there were no signs of relapse.
手部骨骼的动脉瘤样骨囊肿很罕见（仅占所有动脉瘤样骨囊肿的3%至4%；Tillmann和v. Torklus，1966年），需要进行个体化治疗。在本病例中，右手第四掌骨受累（Enneking 3期）。由于其生长迅速，进行了根治性切除，并用双皮质髂嵴移植骨替代切除的掌骨。骨移植愈合良好，无并发症，功能结果令人满意。随访12个月无复发迹象。
