Rao Adityanarayan, Pryor Joshua, Otero Jaclyn, Posa Molly
University of Florida College of Medicine, Gainesville, FL 32610, USA.
University of Florida-Pediatrics Department, Gainesville, FL 32610, USA.
Case Rep Pediatr. 2021 Dec 18;2021:3088992. doi: 10.1155/2021/3088992. eCollection 2021.
A 13-year-old female presented at her pediatrician's office with a complaint of sharp, intermittent, right-sided knee pain that had been present for the previous three days without any known trauma and no association with activity. Her medical history was significant for fractures, and on physical exam, there was a hard mass palpated on the medial aspect of her distal thigh that was nontender, nonmobile, and without overlying skin changes. The plain radiograph findings were consistent with a hook-shaped osteochondroma of the right medial distal metaphysis. Orthopedics recommended conservative management with continued ibuprofen for pain and six-week follow-up with repeat radiograph to evaluate for progression. The follow-up radiograph showed no interval growth. However, due to continued pain, the patient had surgical excision of the osteochondroma six months after initial presentation, allowing her to finish her current soccer season. The surgery was successful, and the patient did well after operation with no residual pain.
一名13岁女性前往儿科医生办公室就诊，主诉右侧膝盖出现尖锐、间歇性疼痛，已持续三天，无任何已知外伤史，且与活动无关。她有骨折病史，体格检查时，在大腿远端内侧可触及一个坚硬肿块，无压痛、不可移动，皮肤无明显变化。X线平片检查结果符合右内侧远端干骺端钩状骨软骨瘤。骨科医生建议采取保守治疗，继续服用布洛芬止痛，并在六周后复查X线片以评估病情进展。复查X线片显示无间隔期生长。然而，由于疼痛持续，患者在初次就诊六个月后接受了骨软骨瘤手术切除，以便她能够完成当前的足球赛季。手术成功，患者术后恢复良好，无残留疼痛。
