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[骨内腱鞘巨细胞瘤致溶骨性病变引起胫骨即将骨折:一种不寻常的临床-组织病理学表现]

[Imminent fracture of the tibia due to an osteolytic lesion caused by an intraosseous tenosynovial giant cell tumor : An unusual clinico-histopathological constellation].

作者信息

Klingebiel Sebastian, Mühl Sebastian, Gosheger Georg, Hartmann Wolfgang, Schneider Kristian Nikolaus, Budny Tymoteusz Borys, Rickert Carolin, Schorn Dominik, Deventer Niklas, Lübben Timo

机构信息

Klinik für Allgemeine Orthopädie und Tumororthopädie, Universitätsklinikum Münster, Albert-Schweitzer Campus 1, 48149, Münster, Deutschland.

Gerhard-Domagk-Institut für Pathologie, Universitätsklinikum Münster, Münster, Deutschland.

出版信息

Orthopade. 2021 Mar;50(3):237-243. doi: 10.1007/s00132-020-03936-2.

Abstract

The tenosynovial giant cell tumor is a rare disease of the joint mucosa, tendon sheaths and bursa. We report on the rare constellation of an intraosseous manifestation of the proximal tibia of a lower leg stump after Burgess amputation as a result of a locally uncontrollable tenosynovial giant cell tumor of the upper ankle. The curettage of the local findings and operative stabilization through an intramedullary composite osteosynthesis led to an early rehabilitation of the exoprosthesis care with regaining patient autonomy.

摘要

腱鞘巨细胞瘤是一种累及关节黏膜、腱鞘和滑囊的罕见疾病。我们报告了一例罕见病例,因踝关节上段腱鞘巨细胞瘤局部无法控制,在伯吉斯截肢术后小腿残端的胫骨近端出现骨内表现。通过局部病灶刮除术及髓内复合骨固定术进行手术稳定处理,使得患者能够早期进行假体护理康复,并重新获得自主生活能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b2/7925330/acce9c2f1769/132_2020_3936_Fig1_HTML.jpg

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