Pecht S, Raschka C
Chirurgische Abteilung, HELIOS St. Elisabeth Klinik, Hünfeld.
MMW Fortschr Med. 2006 Apr 13;148(15):46, 48.
On kicking the ball during a football tournament, and with no involvement of any other player, a 15-year-old boy experienced a spontaneous fracture of the tibia with no fragment displacement. The X-ray of the region of the fracture revealed a cystic structure measuring approximately 3 cm x 2 cm x 2 cm. After eight weeks of conservative treatment, radiography showed bony consolidation of the cyst, and the patient was pain-free. The differential diagnosis must give consideration to juvenile and aneurysmal bone cysts, giant cell tumors and malignant tumors (e.g. osteosarcoma and Ewing's sarcoma).
在一场足球比赛中，一名15岁男孩在踢球时，没有其他球员参与，胫骨发生自发性骨折，无骨折块移位。骨折部位的X线显示一个大小约为3厘米×2厘米×2厘米的囊性结构。经过八周的保守治疗后，X线片显示囊肿骨愈合，患者无痛。鉴别诊断必须考虑青少年骨囊肿、动脉瘤样骨囊肿、骨巨细胞瘤和恶性肿瘤（如骨肉瘤和尤因肉瘤）。
