Laliotis Nikolaos A, Bindoudi Antonia S, Tsitouridis Ioannis A, Petrakis Iordanis G, Kirkos John M
a3rd Orthopaedic Department, Aristotle University of Thessaloniki Medical School, Papageorgiou General Hospital bDepartment of Radiology, Papageorgiou General Hospital, Thessaloniki, Greece.
J Pediatr Orthop B. 2017 Nov;26(6):565-569. doi: 10.1097/BPB.0000000000000438.
We describe the medical management of an acetabular osteoid osteoma in an 11-year-old girl. There was a 2-year delay until proper diagnosis of the patient's pathology was made. Accurate localization of the nidus in the subchondral bone, involving the cartilage, is difficult on the basis of plain radiographs. All imaging methods, including computed tomography, MRI, and bone scintigraphy, were used to confirm the diagnosis. We proposed medical treatment to avoid possible severe complications from surgical intervention. At the patient's latest follow-up visit, after 2 years of medical treatment with NSAIDs, there is complete healing of the osteoid osteoma and there is no sign of recurrence.
我们描述了一名11岁女孩髋臼骨样骨瘤的药物治疗情况。在对该患者的病理进行正确诊断之前，有两年的延误。基于普通X线片，很难准确确定位于软骨下骨且累及软骨的瘤巢位置。所有成像方法，包括计算机断层扫描、磁共振成像和骨闪烁显像，均用于确诊。我们建议采用药物治疗以避免手术干预可能带来的严重并发症。在患者的最近一次随访中，经过两年使用非甾体抗炎药的药物治疗后，骨样骨瘤已完全愈合，且没有复发迹象。
