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良性骨肿瘤切除术后复发性关节积血:两例儿科病例报告

Recurrent Hemarthrosis following Resections of Benign Bone Tumors: A Case Report of Two Pediatric Cases.

作者信息

Barnes Ryan H, Harter Dawn, Esther Robert J, Kamath Ganesh V, Vergun Anna D

机构信息

Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Department of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, North Carolina, USA.

出版信息

Case Rep Orthop. 2021 Aug 3;2021:5533636. doi: 10.1155/2021/5533636. eCollection 2021.

Abstract

. Two pediatric patients presenting with benign bone tumors of the distal femur at the level of the suprapatellar fat pad developed late onset recurrent knee hemarthrosis following surgical treatment of the lesions. A sinus tract from the intramedullary bone to the knee capsule was discovered in both patients during surgical exploration. Resection of the sinus tract and full closure of the knee capsule resulted in no further recurrence. Postoperative knee effusions in patients following resection near the distal femur could represent hemarthrosis that require additional workup and treatment. Resection of the sinus tract successfully treats the hemarthrosis.

摘要

两名患有股骨远端良性骨肿瘤且肿瘤位于髌上脂肪垫水平的儿科患者,在病变接受手术治疗后出现迟发性复发性膝关节积血。在手术探查中,两名患者均发现从骨髓腔到膝关节囊的窦道。切除窦道并完全闭合膝关节囊后未再复发。股骨远端附近切除术后患者出现的膝关节积液可能代表积血,需要进一步检查和治疗。切除窦道成功治愈了积血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b9c/8355958/579686226c67/CRIOR2021-5533636.001.jpg

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