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一名6岁男孩出现异常表现的踝关节肿胀:罕见病例报告。

Ankle swelling in a 6-year-old boy with unusual presentation: report of a rare case.

作者信息

Erler Kaan, Oguz Erbil, Komurcu Mahmut, Atesalp Sabri, Basbozkurt Mustafa

机构信息

Faculty of Medicine, Department of Orthopaedics and Traumatology, Gülhane Military Medical Academy, Ankara, Turkey.

出版信息

J Foot Ankle Surg. 2003 Jul-Aug;42(4):235-9. doi: 10.1016/s1067-2516(03)70035-0.

DOI:10.1016/s1067-2516(03)70035-0
PMID:12907936
Abstract

A 6-year-old boy with a history of pain and swelling in the right ankle was referred to our medical center. A cascading algorithm helped us to better evaluate this case of an osteochondroma of talus. The diagnosis was based on clinical and radiologic findings and on histopathologic analysis of the excised tissue. Although osteochondroma, or osteocartilaginous exostosis, is a common skeletal neoplasm, it is rarely seen in the foot. The rare location, a young age group, and an inexperienced surgeon may make the diagnosis confusing. We presented a case that shows the importance of an orderly evaluation of a musculoskeletal neoplasm. This may be helpful for the physician to better understand the clinical implications of any case before attempting a surgical intervention.

摘要

一名有右踝关节疼痛和肿胀病史的6岁男孩被转诊至我们的医疗中心。一种层叠算法帮助我们更好地评估了这例距骨骨软骨瘤病例。诊断基于临床和影像学检查结果以及切除组织的组织病理学分析。虽然骨软骨瘤或骨软骨性外生骨疣是一种常见的骨骼肿瘤,但在足部很少见。其罕见的位置、年轻的年龄组以及经验不足的外科医生可能会使诊断变得混乱。我们展示了一个病例,该病例显示了对肌肉骨骼肿瘤进行有序评估的重要性。这可能有助于医生在尝试进行手术干预之前更好地理解任何病例的临床意义。

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