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病例报告686:股骨远端应力性骨折,酷似“骨膜硬纤维瘤”。

Case report 686. Stress fracture at distal end of femur simulating "periosteal desmoid".

作者信息

Pistolesi G F, Caudana R, D'Attoma N, Residori E, Pregarz M

机构信息

Institute of Radiology, University of Verona, Italy.

出版信息

Skeletal Radiol. 1991;20(6):454-7. doi: 10.1007/BF00191091.

DOI:10.1007/BF00191091
PMID:1925680
Abstract

A 13-year-old female presented after repeated trauma with pain of the distal end of the thigh. The findings on plain films, bone scan, and CT were indeterminate. MRI accurately demonstrated a fracture line with bone marrow edema, suggesting the diagnosis of stress fracture. MRI patterns of stress fracture were considered and the importance of establishing the correct diagnosis was emphasized.

摘要

一名13岁女性因大腿远端反复创伤后出现疼痛前来就诊。X线平片、骨扫描和CT检查结果不明确。磁共振成像(MRI)准确显示了一条伴有骨髓水肿的骨折线,提示为应力性骨折。文中对应力性骨折的MRI表现进行了分析,并强调了正确诊断的重要性。

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1
Case report 686. Stress fracture at distal end of femur simulating "periosteal desmoid".病例报告686:股骨远端应力性骨折,酷似“骨膜硬纤维瘤”。
Skeletal Radiol. 1991;20(6):454-7. doi: 10.1007/BF00191091.
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Cortical desmoids in adolescent top-level athletes.青少年顶级运动员的皮质硬纤维瘤
Acta Radiol Open. 2015 May 14;4(5):2058460115580878. doi: 10.1177/2058460115580878. eCollection 2015 May.
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Knee lesion in a 62-year-old woman.一名62岁女性的膝部病变。

本文引用的文献

1
Computed tomography of stress fractures.应力性骨折的计算机断层扫描
J Comput Assist Tomogr. 1986 Jan-Feb;10(1):92-5. doi: 10.1097/00004728-198601000-00020.
2
MRI in stress fracture.应力性骨折的磁共振成像
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3
[Diagnostic difficulties of isolated symptomatic unilamellar periosteal appositions. Uncommon form of fatigue fracture in children].[孤立性症状性单层骨膜骨膜新生骨的诊断困难。儿童疲劳性骨折的罕见形式]
Clin Orthop Relat Res. 2008 May;466(5):1262-6. doi: 10.1007/s11999-008-0135-5. Epub 2008 Feb 8.
4
Stress fracture at the junction of the middle and distal third of the ulnar diaphysis in a spinner bowler: a case report and a review of the literature.一名旋转投球手尺骨干中、远三分之一交界处的应力性骨折:病例报告及文献复习
Knee Surg Sports Traumatol Arthrosc. 2005 Sep;13(6):499-504. doi: 10.1007/s00167-004-0560-2. Epub 2004 Nov 13.
5
Lesions of juxtacortical origin (surface lesions of bone).近皮质起源的病变(骨表面病变)
Skeletal Radiol. 1993;22(5):337-57. doi: 10.1007/BF00198395.
6
Case report 847. Juxtacortical aggressive fibromatosis (desmoplastic fibroma) of the forearm.病例报告847。前臂皮质旁侵袭性纤维瘤病(促结缔组织增生性纤维瘤)。
Skeletal Radiol. 1994 Oct;23(7):560-3. doi: 10.1007/BF00223093.
J Radiol. 1988 May;69(5):351-6.
4
Occult fractures of the proximal femur: MR imaging.股骨近端隐匿性骨折:磁共振成像
Radiology. 1989 Jan;170(1 Pt 1):113-6. doi: 10.1148/radiology.170.1.2909083.
5
Fatigue fractures of the femoral diaphysis in the skeletally immature simulating malignancy.骨骼未成熟者股骨干疲劳性骨折模拟恶性肿瘤
Br J Radiol. 1989 Oct;62(742):893-6. doi: 10.1259/0007-1285-62-742-893.
6
Magnetic resonance imaging of musculoskeletal injuries.肌肉骨骼损伤的磁共振成像
Radiol Clin North Am. 1989 Sep;27(5):983-1002.
7
Scintigraphic techniques in musculoskeletal trauma.肌肉骨骼创伤的闪烁成像技术
Radiol Clin North Am. 1989 Sep;27(5):1003-11.