Ahlfeld S K, Makley J T, Derosa G P, Fisher D A, Mitchell J Q
Riley Children's Hospital, Indianapolis, Indiana.
Am J Sports Med. 1990 May-Jun;18(3):271-6. doi: 10.1177/036354659001800309.
The purpose of this paper is to present a progressive diagnostic and management program for osteoid osteoma of the femoral neck in the young athlete. Five young athletes with hip pain secondary to osteoid osteoma are presented. The average age of the patients was 15 years old, with an average followup of 4 years. Radioisotope bone scans, computed axial tomograms, and linear tomograms were valuable diagnostic aids. All five athletes were treated with a limited excisional biopsy via an anterior approach to the femoral neck. Associated treatment modalities, such as bone grafting, internal fixation, and cast immobilization, were not necessary. There were no major complications. The five young athletes returned to sports at an average of 4 months postoperatively. Osteoid osteoma of the femoral neck should be included in the differential diagnosis of hip pain in young athletes. A limited excisional biopsy provided a rapid return to sports for the young athlete without the potential morbidity associated with internal fixation, bone grafting, and cast immobilization.
本文旨在为年轻运动员的股骨颈骨样骨瘤提出一种渐进性的诊断和管理方案。文中介绍了5例继发于骨样骨瘤的髋部疼痛的年轻运动员。患者的平均年龄为15岁，平均随访4年。放射性核素骨扫描、计算机轴向断层扫描和线性断层扫描是有价值的诊断辅助手段。所有5名运动员均通过股骨颈前方入路进行了有限切除活检。无需进行诸如植骨、内固定和石膏固定等相关治疗方式。无重大并发症。这5名年轻运动员术后平均4个月重返运动。股骨颈骨样骨瘤应纳入年轻运动员髋部疼痛的鉴别诊断中。有限切除活检使年轻运动员能够迅速重返运动，而不会有与内固定、植骨和石膏固定相关的潜在发病率。
