Lax-Pérez R, Ferrero-Manzanal F, Murcia-Asensio A, Lax-Pérez A
Acta Ortop Mex. 2013 Mar-Apr;27(2):123-7.
We report a case of a very large intraosseous ganglion in a patient with Down's syndrome. The lesion was located in the medial femoral condyle and was diagnosed with imaging techniques (X-rays, CAT scan, bone scan and magnetic resonance imaging) that allowed measuring it. Treatment consisted of curettage and filling of the defect with the skeletal repair system carbonated apatite resorbable cement which allowed for immediate early weight bearing during the postoperative period in a non-cooperative patient. We think the location and size of the lesion are of interest, as well as the peculiarities of the patient, which may help understand the pathophysiology of this entity. As far as we know, the use of resorbable cement to treat this kind of lesions has not been reported.
我们报告了一例唐氏综合征患者的巨大骨内腱鞘囊肿病例。病变位于股骨内侧髁，通过影像学技术（X线、计算机断层扫描、骨扫描和磁共振成像）进行诊断，这些技术能够对其进行测量。治疗方法为刮除囊肿并用骨修复系统碳酸磷灰石可吸收骨水泥填充骨缺损，这使得该不配合治疗的患者在术后能够立即早期负重。我们认为病变的位置和大小以及患者的特殊情况值得关注，这可能有助于理解该疾病的病理生理学。据我们所知，尚未有使用可吸收骨水泥治疗此类病变的报道。
