Nehme Alexandre H, Bou Ghannam Alaa G, Imad Joseph P, Jabbour Fouad C, Moucharafieh Ramzi, Wehbe Joseph
Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon.
Case Rep Orthop. 2012;2012:820501. doi: 10.1155/2012/820501. Epub 2012 Dec 11.
Intra-articular osteoid osteoma is uncommon accounting for approximately 12% of all osteoid osteomas. It presents diagnostic and therapeutic challenges since several traumatic or degenerative pathologies of the joint can be simulated with delay in the diagnosis. We report the clinical, radiographic, and histopathological findings in 2 cases of intra-articular osteoid osteoma of the femoral neck and of the acetabulum. Technical aspects of arthroscopic excision and results of surgery are discussed. Arthroscopy allowed complete excision of the osteoid osteomas, with a short postoperative rehabilitation and excellent functional results.
关节内骨样骨瘤并不常见，约占所有骨样骨瘤的12%。由于它可能模拟几种关节的创伤性或退行性病变，从而导致诊断延迟，因此在诊断和治疗方面存在挑战。我们报告了2例股骨颈和髋臼关节内骨样骨瘤的临床、影像学和组织病理学表现。并讨论了关节镜下切除的技术要点及手术结果。关节镜检查能够完整切除骨样骨瘤，术后康复时间短，功能恢复良好。
