J Am Acad Orthop Surg. 2014 Apr;22(4):223-34. doi: 10.5435/JAAOS-22-04-223.
Primary bone and soft-tissue tumors that mimic common sports injuries are relatively rare and are not often encountered by most orthopaedists. Prompt and accurate diagnosis of these tumors is crucial to maximize the clinical outcome. Many bone and soft-tissue tumors present disproportionately in young and active patients who are often involved in athletic activities. Thus, the clinician may misdiagnose these rare tumors as more common sports injuries. Symptoms that should raise suspicion for a neoplastic process include pain unrelated to activity and a clinical course that does not follow the typically expected recovery for a common sports injury. An awareness of the salient features of several bone and soft-tissue tumors as well as nononcologic processes that may simulate sports injuries can aid clinicians in the prompt diagnosis and clinical decision making of these rare tumors.
原发性骨和软组织肿瘤,这些肿瘤类似常见的运动损伤,相对较为罕见,大多数骨科医生并不常见。及时准确地诊断这些肿瘤对于最大限度地提高临床疗效至关重要。许多骨和软组织肿瘤在年轻且活跃的患者中发病率较高,这些患者经常参与运动活动。因此,临床医生可能会将这些罕见的肿瘤误诊为更常见的运动损伤。提示肿瘤过程的症状包括与活动无关的疼痛和不符合常见运动损伤典型预期恢复的临床病程。了解几种骨和软组织肿瘤以及可能模拟运动损伤的非肿瘤性过程的显著特征,可以帮助临床医生及时诊断和做出临床决策。