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关节镜下切除延迟诊断的肘部关节内骨样骨瘤:一例报告

Arthroscopic Excision of Delayed Diagnosed Intra-articular Osteoid Osteoma of the Elbow: A Case Report.

作者信息

Park Sam Guk, Shin Duk Seop, Choi Joon Hyuk, Na Ho Dong, Park Jae Woo

机构信息

Department of Orthopedic Surgery, Yeungnam University Medical Center, Daegu, Korea.

Department of Pathology, Yeungnam University Medical Center, Daegu, Korea.

出版信息

Clin Shoulder Elb. 2018 Sep 1;21(3):162-168. doi: 10.5397/cise.2018.21.3.162. eCollection 2018 Sep.

Abstract

An intra-articular osteoid osteoma is a very rare cause of elbow pain, and its diagnosis and treatment remain challenging. Delayed diagnosis may lead to arthritic change of the joint. In this study, the authors present the occurrence of intra-articular osteoid osteoma in the right elbow of a 15-year-old male patient who presented with prolonged pain and limited motion owing to delayed diagnosis. After confirming the nidus of osteoid osteoma from radiographic evaluation, the lesion was completely removed arthroscopically. The patient presented a complete relief of symptoms and full range of motion. This is the first domestic report of successful arthroscopic treatment of an intra-articular osteoid osteoma of the elbow.

摘要

关节内骨样骨瘤是引起肘部疼痛的一种非常罕见的病因,其诊断和治疗仍然具有挑战性。延迟诊断可能导致关节的关节炎改变。在本研究中,作者报告了一名15岁男性患者右肘出现关节内骨样骨瘤,该患者因诊断延迟而出现长期疼痛和活动受限。通过影像学评估确定骨样骨瘤的瘤巢后,经关节镜完全切除了病变。患者症状完全缓解,活动范围恢复正常。这是国内首例关于成功关节镜治疗肘部关节内骨样骨瘤的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59bb/7726390/ea655b961f07/cise-2018-21-3-162f1.jpg

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