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远端指骨内生软骨瘤病理性锤状指骨折：一例报告。

Pathologic mallet fracture of distal phalanx enchondroma: A case report.

作者信息

Kim Byungsung, Nho Jae-Hwi, Kim Woo Jong, Park Sungyong, Kim Hak Soo, Kim Jahyung, Kim Hyoung Ye, Jung Ki Jin

机构信息

Department of Orthopaedic Surgery, Soonchunhyang University Buchon Hospital, Bucheon.

Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, Seoul.

出版信息

Medicine (Baltimore). 2020 May 29;99(22):e20219. doi: 10.1097/MD.0000000000020219.

DOI:10.1097/MD.0000000000020219
PMID:32481387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12245313/
Abstract

INTRODUCTION

Enchondromas arise from cartilaginous cells derived from the physis that persists throughout development. They are difficult to diagnose and are often discovered on radiographs after a trauma.

PATIENT CONCERNS

We discuss the case of a 32-year-old woman with a pathologic mallet fracture of the distal phalanx that was initially misdiagnosed as common mallet fracture.

DIAGNOSIS

Magnetic resonance imaging revealed an eccentrically located lesion expanding to the cortex, with a high signal intensity at T2 weighted image, suggesting pathologic fracture.

INTERVENTIONS

We performed a operation, involving curettage and bone grafting. Complete removal of the lesion was confirmed intraoperatively with the image intensifier, and the cavity was irrigated and subsequently filled with allogenous bone and demineralized bone matrix.

OUTCOMES

With an uneventful recovery, she gradually return to normal function within 3 months. Her symptoms improved and nearly full range of motion of the finger was seen at 1-year follow-up.

CONCLUSION

Our case of pathologic mallet fracture was misdiagnosed as a simple fracture, suggesting that the mechanism of fracture and radiological diagnosis should be carefully considered.

摘要

引言

内生软骨瘤起源于在整个发育过程中持续存在的来自生长板的软骨细胞。它们难以诊断，常在创伤后通过X线片发现。

患者情况

我们讨论一例32岁女性，其远节指骨病理性锤状指骨折最初被误诊为普通锤状指骨折。

诊断

磁共振成像显示一个偏心性病变向皮质扩展，在T2加权像上呈高信号强度，提示病理性骨折。

干预措施

我们进行了手术，包括刮除和植骨。术中通过影像增强器确认病变已完全切除，对骨腔进行冲洗，随后用异体骨和脱矿骨基质填充。

结果

恢复顺利，她在3个月内逐渐恢复正常功能。症状改善，在1年随访时手指活动度几乎完全恢复。

结论

我们的病理性锤状指骨折病例最初被误诊为单纯骨折，提示应仔细考虑骨折机制和影像学诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/12245313/cbddd711d6b5/medi-99-e20219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/12245313/c228f12c5a01/medi-99-e20219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/12245313/3fb351cd3308/medi-99-e20219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/12245313/69ec6a288547/medi-99-e20219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/12245313/cbddd711d6b5/medi-99-e20219-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/12245313/c228f12c5a01/medi-99-e20219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/12245313/3fb351cd3308/medi-99-e20219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/12245313/69ec6a288547/medi-99-e20219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc07/12245313/cbddd711d6b5/medi-99-e20219-g004.jpg

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本文引用的文献

1
Enchondroma of the Hand: Evaluation and Management.手部内生软骨瘤：评估与处理
J Am Acad Orthop Surg. 2016 Sep;24(9):625-33. doi: 10.5435/JAAOS-D-15-00452.
2
Modified technique for one-stage treatment of proximal phalangeal enchondromas with pathologic fractures.治疗伴有病理性骨折的近节指骨内生软骨瘤的一期改良技术。
J Hand Surg Am. 2014 Sep;39(9):1757-60. doi: 10.1016/j.jhsa.2014.06.131. Epub 2014 Aug 5.
3
Digital enchondroma.内生软骨瘤
Am J Orthop (Belle Mead NJ). 2004 Aug;33(8):416.
4
Early versus delayed treatment of enchondroma.
Am J Orthop (Belle Mead NJ). 2000 Oct;29(10):771-2.
5
[Therapy and prognosis of enchondroma of the hand].
Chirurg. 2000 Sep;71(9):1152-5. doi: 10.1007/s001040051193.
6
Enchondroma of the distal phalanx of the hand.手部远节指骨内生软骨瘤。
J Bone Joint Surg Am. 1997 Jun;79(6):898-900. doi: 10.2106/00004623-199706000-00014.
7
Avulsion of flexor profundus, secondary to enchondroma of the distal phalanx.
J Hand Surg Am. 1983 May;8(3):315-6. doi: 10.1016/s0363-5023(83)80168-3.
8
[Enchondroma of the hand].[手部内生软骨瘤]
Chir Ital. 1983 Oct;35(5):788-93.
9
On the treatment of enchondroma.
J Hand Surg Br. 1990 Aug;15(3):320-30. doi: 10.1016/0266-7681_90_90012-s.