Ribeiro José Neias Araujo, Cavalcante Maria Luzete Costa, Farias Diogo Araujo, Bingana Rudy Diavila
Departamento de Ortopedia, Universidade Federal do Ceará, Hospital Walter Cantídio, Fortaleza, CE, Brasil.
Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 May;54(3):335-338. doi: 10.1055/s-0039-1692430. Epub 2019 Jun 27.
Florid reactive periostitis is a benign and rare lesion that is a recurrent diagnostic problem. Its etiopathogenesis remains unknown. Florid reactive periostitis consists of a fibrotic, cartilage-producing tumor accompanied by an aggressive inflammatory periosteal and soft tissue reaction. It typically occurs in adolescents and young adults, mostly female; it often affects hand and foot bones, and it may occur in long bones. Its diagnosis remains a major challenge due to the vast possibility of differential diagnoses. Therefore, careful clinical, radiological, and pathological evaluation is required to establish a proper diagnosis. We report the case of a patient with florid reactive periostitis in the proximal phalanx of the right index finger, who underwent surgical excision with a wide margin, from the second ray to the proximal third of the second metacarpal bone, and evolved without complications, with satisfactory range of motion and strength.
florid reactive periostitis是一种良性且罕见的病变，是一个反复出现的诊断难题。其发病机制尚不清楚。 florid reactive periostitis由一种产生软骨的纤维化肿瘤组成，伴有侵袭性的炎症性骨膜和软组织反应。它通常发生在青少年和年轻人中，大多数为女性；它常累及手部和足部骨骼，也可能发生在长骨中。由于鉴别诊断的可能性很大，其诊断仍然是一项重大挑战。因此，需要仔细的临床、放射学和病理学评估来做出正确的诊断。我们报告了一例右食指近节指骨患有 florid reactive periostitis的患者，该患者接受了从第二掌骨的第二射线到近端三分之一的广泛边缘手术切除，术后无并发症，活动范围和力量恢复良好。
