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一例桡骨远端骨骺骨样骨瘤伴非典型起病。

A case of osteoid osteoma in the distal radius epiphysis with atypical onset.

作者信息

Deveci Alper, Fırat Ahmet, Bozkurt Murat, Hücümenoğlu Sema

机构信息

Department of Orthopedics and Traumatology, Etlik İhtisas Training and Research Hospital, Ankara, Turkey.

Department of Pathology, Etlik İhtisas Training and Research Hospital, Ankara, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2014;48(1):98-101. doi: 10.3944/AOTT.2014.2502.

Abstract

We present a 16-year-old male patient, with a history of wrist trauma 3 months prior to admission, presented with widespread swelling, limitation of motion and pain that was unresponsive to anti-inflammatory drugs in the left wrist. A lesion compatible with osteoid osteoma in the distal epiphysis of the left radius was detected radiologically. Diagnosis of osteoid osteoma was confirmed with pathological examination of the lesion. Differential diagnosis is important as the atypical lesion occurred after trauma, making it difficult to distinguish from synovitis and infection in consideration of its location.

摘要

我们报告一名16岁男性患者,入院前3个月有腕部外伤史,现出现左腕广泛肿胀、活动受限及疼痛,抗炎药物治疗无效。影像学检查发现左桡骨远端骨骺有一与骨样骨瘤相符的病变。病变的病理检查确诊为骨样骨瘤。鉴别诊断很重要,因为该非典型病变发生于外伤后,考虑到其位置,很难与滑膜炎和感染相鉴别。

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