Herget Georg W, Maier Dirk, Südkamp Norbert P, Uhl Markus, Füllgraf Hannah, Dovi-Akue David
Department of Orthopaedics and Trauma Surgery, Medical Center, Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Germany.
Department of Diagnostic and Therapeutic Radiology, St. Josefs Hospital Freiburg, Germany.
JBJS Case Connect. 2019 Jul-Sep;9(3):e0086. doi: 10.2106/JBJS.CC.19.00086.
A 38-year-old man presented with recurrent chondroblastoma of the acromion after primary curettage and bone grafting. The patient underwent revision surgery with resection of the acromion and reconstruction using an autologous iliac crest graft. He had regained normal shoulder function without recurrence at a follow-up of 17 months.
This case demonstrates a rare location of chondroblastoma and successful anatomical and functional reconstruction. The described surgical procedure could be considered for large tumorous lesions of the acromion, for which curettage would be insufficient, and to preserve and reconstruct a functionally intact shoulder girdle.
一名38岁男性在初次刮除术和骨移植后出现复发性肩峰软骨母细胞瘤。该患者接受了翻修手术，切除肩峰并使用自体髂嵴移植进行重建。在17个月的随访中，他恢复了正常的肩部功能且无复发。
本病例显示了软骨母细胞瘤的罕见部位以及成功的解剖和功能重建。对于刮除术不足以治疗的肩峰大肿瘤性病变，以及为了保留和重建功能完整的肩胛带，可考虑采用所描述的手术方法。
