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肱骨小头剥脱性骨软骨炎:关节镜治疗成功的病例报告

Osteochondritis Dissecans of the Capitellum: A Case Report of Successful Arthroscopic Treatment.

作者信息

Ribeiras Cabral J, Henriques R, Matoso J Arvela, Martins S, Sarmento M

机构信息

Orthopedic Surgery Department, Hospital de Santa Maria, Av. Prof. Egas Moniz, 1649-035 Lisboa, Portugal.

出版信息

Case Rep Orthop. 2017;2017:5086542. doi: 10.1155/2017/5086542. Epub 2017 Mar 26.

Abstract

Osteochondritis dissecans (OCD) of the capitellum is a localized disorder of the subchondral bone, in a region with limited healing capacity. Although its aetiology is still unknown, it has been associated with repetitive microtrauma. The natural history of this disease involves the evolution for degenerative joint disease in approximately half of the patients, with early identification and treatment being critical to optimizing the outcome. We present a rare case in our practice, illustrating a capitellar OCD in a fifteen-year-old White male without an identified cause of repetitive microtrauma. In this case prompt diagnosis and arthroscopic-assisted treatment led to a successful result.

摘要

肱骨小头剥脱性骨软骨炎(OCD)是一种发生于软骨下骨的局限性疾病,该区域愈合能力有限。尽管其病因尚不清楚,但已发现与重复性微创伤有关。这种疾病的自然病程是约半数患者会发展为退行性关节病,因此早期识别和治疗对于优化治疗效果至关重要。我们在临床实践中报告了1例罕见病例,该病例为一名15岁白人男性的肱骨小头OCD,未发现重复性微创伤的明确病因。在此病例中,及时诊断并在关节镜辅助下进行治疗取得了成功的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c1e/5385232/81540a1c2780/CRIOR2017-5086542.001.jpg

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