Allieu Y, Lussiez B
Service de Chirurgie Orthopédique, Hôpital Lapeyronie, Montpellier.
Ann Chir Main. 1988;7(4):298-304. doi: 10.1016/s0753-9053(88)80026-7.
On the basis of a multicentre study, 46 cases of osteoid osteoma of the hand were reviewed on behalf of the GETO. The phalangeal localization is unusual both clinically (segmental digital hypertrophy, pseudo-hippocratism), radiologically (cortical hypertrophy with poorly or non-visible nidus) and therapeutically. The preoperative diagnosis is difficult, but must be as precise as possible in order to select the site of incision and to accurately resect the nidus. Treatment must consist of block resection of the lesion followed, when necessary, by autologous bone graft with arthrodesis of an adjacent joint.
基于一项多中心研究，代表骨肿瘤研究组（GETO）对46例手部骨样骨瘤进行了回顾性分析。指骨部位的骨样骨瘤在临床（节段性手指肥大、假性杵状指）、放射学（皮质肥大且瘤巢显示不清或不可见）及治疗方面均较为少见。术前诊断困难，但为了选择切口位置并准确切除瘤巢，必须尽可能精确。治疗必须包括病变的整块切除，必要时辅以自体骨移植及相邻关节融合术。
