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经射频消融治疗骨样骨瘤后发生的病理性股骨骨折:病例报告及文献复习

Pathologic Femur Fracture through Osteoid Osteoma after Radiofrequency Ablation: Case Report and Review of the Literature.

作者信息

Rogers Nathan B, Roper Brennan P, Mansour Alfred A

机构信息

McGovern Medical School at UTHealth Houston, Houston, TX, USA.

出版信息

Case Rep Orthop. 2021 Jul 28;2021:5560037. doi: 10.1155/2021/5560037. eCollection 2021.

DOI:10.1155/2021/5560037
PMID:34367706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8337104/
Abstract

This is a case report of a 4-year-old girl who sustained a femoral shaft fracture 2 weeks after radiofrequency ablation of an osteoid osteoma. The fracture occurred after a relatively low-energy impact, jumping off the second to last step of a staircase. The pathologic fracture was successfully treated with closed reduction and spica casting, with full return to activities. Cases have been reported in the literature of femoral shaft fractures in older patients after radiofrequency ablation, but all are farther out than 2 weeks and none in patients as young as 4 years.

摘要

这是一例4岁女童的病例报告,该女童在骨样骨瘤射频消融术后2周发生股骨干骨折。骨折发生在相对低能量冲击后,从楼梯倒数第二步跳下时。该病理性骨折通过闭合复位和髋人字石膏固定成功治疗,患儿完全恢复活动。文献中已有关于老年患者射频消融术后股骨干骨折的报道,但时间均超过2周,且无4岁这么小年龄患者的相关报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/fe80c463dca2/CRIOR2021-5560037.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/b0802f4a31f0/CRIOR2021-5560037.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/5c4083768ece/CRIOR2021-5560037.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/47378f390f10/CRIOR2021-5560037.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/f6f2d4f6bf06/CRIOR2021-5560037.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/fe80c463dca2/CRIOR2021-5560037.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/b0802f4a31f0/CRIOR2021-5560037.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/5c4083768ece/CRIOR2021-5560037.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/47378f390f10/CRIOR2021-5560037.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/f6f2d4f6bf06/CRIOR2021-5560037.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb3/8337104/fe80c463dca2/CRIOR2021-5560037.005.jpg

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本文引用的文献

1
Osteoid Osteoma Masquerading as Cholelithiasis: A Case Report.骨样骨瘤伪装为胆石症:一例报告。
JBJS Case Connect. 2020 Jan-Mar;10(1):e0090. doi: 10.2106/JBJS.CC.19.00090.
2
The safety and the efficacy of computed tomography guided percutaneous radiofrequency ablation of osteoid osteoma.计算机断层扫描引导下经皮射频消融治疗骨样骨瘤的安全性和有效性。
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Complications of Computer Tomography Assisted Radiofrequency Ablation in the Treatment of Osteoid Osteoma.
计算机断层扫描辅助射频消融治疗骨样骨瘤的并发症。
Biomed Res Int. 2019 May 15;2019:4376851. doi: 10.1155/2019/4376851. eCollection 2019.
4
Femur shaft fracture following osteoid osteoma radiofrequency ablation.骨样骨瘤射频消融术后股骨干骨折
Clin Cases Miner Bone Metab. 2017 Sep-Dec;14(3):363-367. doi: 10.11138/ccmbm/2017.14.3.363. Epub 2017 Dec 27.
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Radiofrequency ablation of osteoid osteoma.骨样骨瘤的射频消融术。
Acta Biomed. 2018 Jan 19;89(1-S):175-185. doi: 10.23750/abm.v89i1-S.7021.
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Case report: late subtrochanteric fracture post radiofrequency ablation of osteoid osteoma.病例报告:骨样骨瘤射频消融术后晚期转子下骨折
Clin Cases Miner Bone Metab. 2014 May;11(2):145-8.
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Osteoid osteoma.骨样骨瘤
Orthopedics. 2013 Oct 1;36(10):792-800. doi: 10.3928/01477447-20130920-10.
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Radiofrequency ablation in the treatment of osteoid osteoma: results and complications.射频消融术治疗骨样骨瘤:疗效与并发症。
Pediatr Radiol. 2013 Jul;43(7):814-9. doi: 10.1007/s00247-013-2636-y. Epub 2013 Feb 14.
9
The use of radiofrequency ablation in the treatment of musculoskeletal tumors.射频消融在治疗肌肉骨骼肿瘤中的应用。
J Am Acad Orthop Surg. 2009 Dec;17(12):737-43. doi: 10.5435/00124635-200912000-00002.
10
Arthroscopic excision of osteoid osteomas of the hip in children.儿童髋关节骨样骨瘤的关节镜下切除术
J Pediatr Orthop. 2009 Sep;29(6):547-51. doi: 10.1097/BPO.0b013e3181b2b877.