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一例罕见的股骨头骨母细胞瘤合并凸轮型股骨髋臼撞击症:病例报告

A rare case of osteoblastoma in the femoral head combined with cam-type femoroacetabular impingement: A case report.

作者信息

Morita Akira, Kobayashi Naomi, Choe Hyonmin, Tezuka Taro, Kawabata Yusuke, Hayashida Kenta, Higashihira Shota, Kato Ikuma, Inaba Yutaka

机构信息

Department of Orthopaedic Surgery, Yokohama City University, Yokohama, Japan.

Department of Orthopaedic Surgery, Yokohama City University Medical Center, Yokohama, Japan.

出版信息

SAGE Open Med Case Rep. 2020 Dec 6;8:2050313X20978022. doi: 10.1177/2050313X20978022. eCollection 2020.

Abstract

Osteoblastoma is a relatively rare benign bone-forming tumor accounting for less than 1% of all bone tumors. This report describes a patient with an osteoblastoma in the femoral head complicated by coexistence of femoroacetabular impingement. A 25-year-old male rugby football player complained of severe right hip pain after an injury during rugby practice. The pain became progressively worse despite resting from sports activity and rehabilitation for 4 months. The image inspection revealed bone tumor complicated by cam-type femoroacetabular impingement and a labral injury. Hip arthroscopic surgery was planned using a navigation system and a three-dimensional model for both complete debridement and cam resection. The tumor was resected by open surgery using a posterior approach. The bone tumor was diagnosed histopathologically as an osteoblastoma. The patient's symptoms improved markedly after surgery, with no evidence of local tumor recurrence or hip arthritis 1 year later.

摘要

骨母细胞瘤是一种相对罕见的成骨性良性肿瘤,占所有骨肿瘤的比例不到1%。本报告描述了一名股骨头骨母细胞瘤患者,并发股骨髋臼撞击综合征。一名25岁的男性橄榄球运动员在橄榄球训练中受伤后,抱怨右髋部剧痛。尽管停止体育活动并进行了4个月的康复治疗,疼痛仍逐渐加重。影像学检查显示骨肿瘤并发凸轮型股骨髋臼撞击综合征和盂唇损伤。计划使用导航系统和三维模型进行髋关节镜手术,以彻底清创并切除凸轮。采用后入路开放手术切除肿瘤。经组织病理学诊断,骨肿瘤为骨母细胞瘤。术后患者症状明显改善,1年后无局部肿瘤复发或髋关节炎迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2a1/7724397/f9452b8c29fc/10.1177_2050313X20978022-fig1.jpg

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