Terra Bernardo Barcellos, Rodrigues Leandro Marano, Padua David Victoria Hoffmann, Sassine Tannous Jorge, Cavatte José Maria, De Nadai Anderson
Santa Casa de Misericórdia de Vitória, Departamento de Ortopedia e Traumatologia, Vitória, ES, Brazil.
Rev Bras Ortop. 2017 Feb 17;52(2):210-214. doi: 10.1016/j.rboe.2017.01.006. eCollection 2017 Mar-Apr.
The osteoid osteoma is a bone tumor that accounts for 10% of benign tumors. It was described in 1935 by Jaffe, as a tumor that affects the young adult population, with a predominance of males. This study aims to present a case of late diagnosis of a patient with osteoid osteoma of the distal clavicle region. Female patient, 44 years old, non-professional volleyball player, reported pain in the anterior and superior region of the shoulder girdle, specifically in the acromioclavicular joint, which worsened at night and had been treated for nine months as tendinitis of the rotator cuff and acromioclavicular joint arthritis. After confirming the diagnosis, the patient underwent open surgery with resection of the distal clavicle. At two years of follow-up, the patient presents without local pain. In the radiographic evaluation, coracoclavicular distance is preserved and there are no signs of recurrence. Tumors of the shoulder girdle are rare and are often diagnosed late. A high degree of suspicion for the diagnosis of tumors of the shoulder girdle is needed in order to avoid late diagnosis.
骨样骨瘤是一种占良性肿瘤10%的骨肿瘤。1935年由贾菲描述，是一种好发于青壮年男性的肿瘤。本研究旨在介绍1例锁骨远端区域骨样骨瘤延迟诊断的病例。44岁女性患者，非职业排球运动员，自述肩胛带前上方区域疼痛，特别是肩锁关节处，夜间疼痛加剧，曾作为肩袖肌腱炎和肩锁关节关节炎治疗9个月。确诊后，患者接受了锁骨远端切除术的开放手术。随访两年时，患者无局部疼痛。影像学评估显示喙锁距离保持正常，无复发迹象。肩胛带肿瘤罕见，常被延迟诊断。为避免延迟诊断，需要对肩胛带肿瘤的诊断保持高度怀疑。
