Suranigi Shishir, Rengasamy Kanagasabai, Najimudeen Syed, Gnanadoss James
Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, India.
Arch Bone Jt Surg. 2016 Jun;4(3):269-72.
Osteochondroma or exostosis is the most common benign bone tumor, and occurring frequently in the proximal humerus, tibia, and distal femur. It rarely affects talus. Osteochondroma of talus is a very rare etiology of tarsal tunnel syndrome (TTS). We report a rare case of extensive osteochondroma of the talus in a 60 year old female presenting with multiple swellings around the ankle and symptoms suggestive of tarsal tunnel syndrome. En-block excision of the multiple masses was done. Histopathological examination confirmed the diagnosis of osteochondroma. Although most of the osteochondromas are being treated conservatively, those presenting with multiple swellings, restriction of movements and compressive neuropathies should be treated with surgical excision. Excision is a successful method of treatment for symptomatic osteochondromas with low recurrence.
骨软骨瘤或外生骨疣是最常见的良性骨肿瘤,常发生于肱骨近端、胫骨和股骨远端。它很少累及距骨。距骨骨软骨瘤是跗管综合征(TTS)非常罕见的病因。我们报告一例罕见的60岁女性距骨广泛骨软骨瘤病例,患者踝关节周围有多处肿胀,并伴有跗管综合征的症状。对多个肿物进行了整块切除。组织病理学检查确诊为骨软骨瘤。虽然大多数骨软骨瘤采用保守治疗,但那些出现多处肿胀、活动受限和压迫性神经病变的骨软骨瘤应行手术切除。切除是治疗有症状骨软骨瘤且复发率低的成功方法。