距骨骨软骨瘤：三种不同病例。
Osteochondroma of the talus: three varying cases.
机构信息
Orthopaedics, University College of Medical Sciences, Delhi, India.
Orthopaedics, University College of Medical Sciences, Delhi, India
出版信息
BMJ Case Rep. 2020 Dec 22;13(12):e237670. doi: 10.1136/bcr-2020-237670.
Osteochondroma of the talus is a rare entity that can cause pain, swelling, restriction of movements, synovitis and tarsal tunnel syndrome (TTS). We present three such cases with varying presentation. Case 1 presented with synovitis of the ankle along with a bifocal origin of the talar osteochondroma. Case 2 presented with TTS as a result of compression of the posterior tibial nerve. Case 3 presented with deformity of the foot. In all the three cases, the mass was excised en bloc and histologically proven to be osteochondroma. In case 3, the ankle joint was reconstructed with plate, bone graft and arthrodesis of the inferior tibiofibular joint. All the three cases had good clinical outcomes.
距骨骨软骨瘤是一种罕见的疾病，可引起疼痛、肿胀、运动受限、滑膜炎和跗管综合征（TTS）。我们报告了三例具有不同表现的病例。病例 1 表现为踝关节滑膜炎，同时距骨骨软骨瘤有双焦点起源。病例 2 表现为由于胫后神经受压导致 TTS。病例 3 表现为足部畸形。在所有三例中，肿块均整块切除，并通过组织学证实为骨软骨瘤。在病例 3 中，踝关节用钢板、骨移植和下胫腓关节融合进行重建。所有三例均取得了良好的临床效果。
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