Hofmann P, Galanski M
Rofo. 1976 Nov;125(5):417-21. doi: 10.1055/s-0029-1230491.
There is a close, but not constant, relationship between congenital bowing of the tibia or infantile pseudo-arthrosis of the tibia and von Recklinghausen's neurofibromatosis. In about 40% it is possible to confirm the diagnosis by examining relatives, but the radiological findings and the course of the disease, as well as by histological examination. Anterior bowing with dysplastic-sclerotic bone changes results in the "high risk tibia". This may lead to a pathological fracture. Treatment depends on the clinical findings and radiological changes. It should be aimed at preventing pathological fractures and pseudarthrosis.
胫骨先天性弓形弯曲或婴儿型胫骨假关节与冯雷克林霍增氏神经纤维瘤病之间存在密切但并非恒定的关系。约40%的病例可通过检查亲属确诊,也可通过放射学检查结果、疾病病程以及组织学检查来确诊。伴有发育不良性硬化性骨改变的前弓形弯曲会导致“高危胫骨”,这可能会引发病理性骨折。治疗取决于临床表现和放射学改变,其目的应是预防病理性骨折和假关节形成。