Rupprecht Martin, Mladenov Kiril, Stücker Ralf
Department of Trauma-, Hand- and Reconstructive Surgery, University Hamburg, Hamburg, Germany.
J Pediatr Orthop B. 2010 Jul;19(4):341-3. doi: 10.1097/BPB.0b013e3283320c6b.
We report an exceptional case of a 12-year-old-boy with a pseudoaneurysm of the popliteal artery caused by an osteochondroma on the lower femoral metaphysic after a hyperextension trauma. On account of the absence of the most constant findings, the pulsation of a soft tissue mass and elevated inflammation blood parameters, we preoperatively assumed an infected haematoma. This patient was successfully operated upon with resection of the osteochondroma and saphenous vein femoropopliteal bypass. Owing to the severity of potential vascular complication, preventive resection of osteochondromas in the course of an artery and the need for a vascular surgeon on stand-by should be discussed.
我们报告了一例特殊病例,一名12岁男孩在膝关节过度伸展创伤后,因股骨远端干骺端骨软骨瘤导致腘动脉假性动脉瘤。由于缺乏最常见的体征,即软组织肿块搏动和炎症血液参数升高,我们术前推测为感染性血肿。该患者通过切除骨软骨瘤并进行大隐静脉股腘旁路移植术成功接受了手术。鉴于潜在血管并发症的严重性,应讨论在动脉行程中预防性切除骨软骨瘤以及配备血管外科医生待命的必要性。