拇指腕掌关节的滑膜骨软骨瘤病

Synovial Osteochondromatosis at the Carpometacarpal Joint of the Thumb.

作者信息

Yonekura Satoru, Hagiwara Hiroyoshi, Nishimura Takahiro, Amagai Hiroshi, Yamamura Mayu, Miyamoto Osamu, Nakama Sueo

机构信息

Department of Orthopedics, Tochigi Medical Center Shimotsuga, Ohira-machi Kawatsure 420-1, Tochigi City, Tochigi 329-4489, Japan.

Department of Orthopedics, JCHO Utsunomiya Hospital, Minamitakasago-cho 11-17, Utsunomiya, Tochigi 321-0143, Japan.

出版信息

Case Rep Orthop. 2017;2017:3974342. doi: 10.1155/2017/3974342. Epub 2017 Jan 11.

DOI:10.1155/2017/3974342

PMID:28168072

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5266851/

Abstract

Synovial osteochondromatosis (SOC) is a benign tumor characterized by synovial connective tissue metaplasia. SOC commonly affects major joints including the knee followed by the hip, elbow, and wrist. SOC cases in the hand are not reported as often as SOC of major joints. Particularly SOC of the carpometacarpal joint of the thumb is rare. We report on a 57-year-old female with primary SOC of the carpometacarpal joint of her left thumb. Surgical excision was performed and the patient had no symptoms with full range of motion of her left thumb. At 3 years of follow-up, there was no recurrence.

摘要

滑膜骨软骨瘤病（SOC）是一种以滑膜结缔组织化生为特征的良性肿瘤。SOC通常累及大关节，包括膝关节，其次是髋关节、肘关节和腕关节。手部的SOC病例报告不如大关节的SOC常见。特别是拇指掌指关节的SOC很少见。我们报告一例57岁女性，患有左拇指掌指关节原发性SOC。进行了手术切除，患者左拇指活动范围正常且无症状。随访3年，无复发。