成人指骨巨大多叶性骨软骨瘤一例报告
A giant multi-lobed osteochondroma of the phalanx in an adult: A case report.
作者信息
Al-Qattan Mohammad M, Al-Marshad Felwa, Al-Shammari Jumana, Rafique Atif
机构信息
The Division of Plastic Surgery at King Saud University, Riyadh, Saudi Arabia; The Division of Plastic Surgery at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
The Division of Plastic Surgery at King Saud University, Riyadh, Saudi Arabia.
出版信息
Int J Surg Case Rep. 2017;31:10-13. doi: 10.1016/j.ijscr.2016.12.015. Epub 2016 Dec 27.
INTRODUCTION
Solitary osteochondromas of the adult hand are extremely rare. We present a case of a giant multi-lobed osteochondroma of the phalanx in an adult. No similar cases were found in the literature.
PRESENTATION OF CASE
A 25-year old male presented with a giant multi-lobed osteochondroma arising from the base of the middle phalanx; causing limitations of motion of the proximal interphalangeal joint (PIPJ). The patient refused complete excision, bone grafting and possible fusion of the PIPJ. Marginal resection resulted in recovery of almost full range of motion. There was no recurrence up to the 8-month follow-up visit.
DISCUSSION
The case was compared to previously reported cases of ostechondroma of the hand. The management is discussed along with differentiating large osteochondromas from Nora's lesions in the hand.
CONCLUSION
A rare case of a large multi-lobed osteochondroma of the phalanx in an adult is presented and the management is discussed.
引言
成人手部孤立性骨软骨瘤极为罕见。我们报告一例成人指骨巨大多叶性骨软骨瘤病例。文献中未发现类似病例。
病例介绍
一名25岁男性，患有起源于中节指骨基部的巨大多叶性骨软骨瘤，导致近端指间关节（PIPJ）活动受限。患者拒绝进行完全切除、骨移植及可能的PIPJ融合术。边缘切除术后，几乎恢复了全部活动范围。至8个月随访时无复发。
讨论
将该病例与先前报道的手部骨软骨瘤病例进行了比较。讨论了其治疗方法以及手部大型骨软骨瘤与诺拉氏病损的鉴别。
结论
报告了一例成人指骨罕见的大型多叶性骨软骨瘤病例并讨论了其治疗方法。
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