Rodríguez-Nogué Luis, Hernández-Fernández Alberto, Pinilla-Gracia Cristian, Gómez-Palacio Victoria E, Gil-Albarova Jorge
Orthopedic and Trauma Surgery Service, Miguel Servet University Hospital, 50009, Zaragoza, Spain.
Jt Dis Relat Surg. 2020;31(2):367-371. doi: 10.5606/ehc.2020.74184. Epub 2020 Apr 11.
The clavicle is an infrequent location for primary tumors in general, and aneurysmal bone cyst (ABC) of the clavicle is particularly rare. The challenge of the functional and esthetic result in the treatment of these lesions in the pediatric population is high when considering the reconstruction of critical bone defects. In this article, we present the case of a seven-year-old boy with an ABC in the middle third of the clavicle, treated by resection and reconstruction with free autograft of the fibula stabilized by using an intramedullary titanium nail. We offer a description of the used technique, considerations about treatment options in children, and a follow-up of more than two-and-a-half years.
一般来说，锁骨是原发性肿瘤较少见的发病部位，而锁骨的骨囊肿（ABC）则尤为罕见。考虑到儿童严重骨缺损的重建问题，治疗这些病变时在功能和美学效果方面面临的挑战很大。在本文中，我们介绍了一名7岁男孩的病例，其锁骨中三分之一处患有骨囊肿，通过切除并用髓内钛钉固定的游离腓骨自体移植进行重建治疗。我们描述了所使用的技术、对儿童治疗方案的考虑以及超过两年半的随访情况。
