Efstathopoulos Nicolas, Sapkas Georgios, Xypnitos Fragiskos N, Lazarettos Ioannis, Korres Demetrios, Nikolaou Vassilios S
Orthopaedic Department, Athens University, Konstantopoulion "Agia Olga" General Hospital, Athens, P.C 15124, Greece.
Cases J. 2009 Jul 17;2:6439. doi: 10.4076/1757-1626-2-6439.
We present a case of a 53-year-old woman with recurrent intra-articular osteoid osteoma of the hip 6 months after initial treatment with percutaneous radiofrequency ablation. En bloc surgical excision of the osteoid osteoma and prophylactic internal fixation for impending stress fracture was performed. The patient is pain free, has returned to normal function and there is no sign of recurrence at the one-year follow-up. Intraarticular osteoid osteoma, present a diagnostic challenge and often they are misdiagnosed. Minimally invasive ablation techniques can fail in significant percentage and then surgical excision with histological confirmation remains the definitive treatment of choice.
我们报告一例53岁女性患者，其在经皮射频消融初次治疗6个月后出现复发性髋关节关节内骨样骨瘤。对骨样骨瘤进行了整块手术切除，并对即将发生的应力性骨折进行了预防性内固定。患者无痛，已恢复正常功能，在一年的随访中没有复发迹象。关节内骨样骨瘤带来诊断挑战，且常被误诊。微创消融技术在很大比例的病例中可能失败，因此手术切除并经组织学证实仍是首选的确定性治疗方法。
