Eggel Yan, Theumann Nicolas, Lüthi François
Service de réadaptation générale, Clinique romande de réadaptation Suvacare, Case postale 352, Av. Grand-Champsec 90, 1951 Sion, Switzerland.
Joint Bone Spine. 2007 Jul;74(4):379-81. doi: 10.1016/j.jbspin.2006.10.007. Epub 2007 May 15.
The intra-articular osteoid osteoma (10-13% of the cases) is often difficult to identify. They present frequent atypical clinical signs and radiological images that eventually lead to inadequate treatment. For example, it has been observed that this pathology leads to inappropriate arthroscopies (up to 40%). Meniscal tear and then osteochondritis were initially suspected on a patient with an intra-articular osteoid osteoma at the tibia level. For the treatment, any damage of the cartilage has to be avoided. Thermoablation with radiofrequency is the treatment of choice.
关节内骨样骨瘤(占病例的10 - 13%)通常难以识别。它们常表现出不典型的临床症状和影像学表现,最终导致治疗不当。例如,据观察,这种病理情况会导致不恰当的关节镜检查(高达40%)。一名胫骨水平关节内骨样骨瘤患者最初被怀疑为半月板撕裂,随后是骨软骨炎。对于治疗,必须避免软骨的任何损伤。射频热消融是首选的治疗方法。