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成年人轮椅篮球运动员中模仿肌肉骨骼性肩部疼痛的骨样骨瘤:是危险信号还是无稽之谈?

Osteoid Osteoma in an Adult Wheelchair Basketball Player Mimicking Musculoskeletal Shoulder Pain: Red Flag or a Red Herring?

机构信息

Sovrintendenza Sanitaria Regionale Puglia INAIL, 70126 Bari, Italy.

Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), Campus of Savona, University of Genova, 17100 Savona, Italy.

出版信息

Tomography. 2022 Feb 7;8(1):389-401. doi: 10.3390/tomography8010032.

DOI:10.3390/tomography8010032
PMID:35202197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8877604/
Abstract

Osteoid osteoma (OO) is a relatively common, benign bone-forming tumour, which mainly occurs on the long tubular bones of the limbs in adolescents. Usually, the OO is classified based on its localisation. Night-time pain is the major symptom of OO, which is commonly relieved using non-steroidal anti-inflammatory drugs, while surgery is required only for those patients with severe pain or in case of failure of previous conservative treatments. Our case report describes a 56-year-old male basketball player who self-referred to our outpatient physical therapy with a shoulder pain complaint. Considering the anamnesis and the physical examination, the physical therapist referred the patient to an orthopaedic surgeon, who suggested a detailed imaging investigation. The peculiarity of this clinical case is the overlapping of two clinical presentations: the symptomatology of the OO and the concurrent mechanical disorder due to a rotator cuff tendinopathy.

摘要

骨样骨瘤(OO)是一种相对常见的良性成骨肿瘤,主要发生在青少年四肢的长管状骨上。通常,OO 根据其位置进行分类。夜间疼痛是 OO 的主要症状,通常使用非甾体抗炎药缓解,而仅对那些疼痛严重或先前保守治疗失败的患者需要手术。我们的病例报告描述了一位 56 岁的男性篮球运动员,他因肩部疼痛到我们的门诊理疗科就诊。根据病史和体检,理疗师将患者转介给骨科医生,后者建议进行详细的影像学检查。这个临床病例的特点是两种临床表现的重叠:OO 的症状和由于肩袖肌腱病引起的并发机械障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/623b9d05491c/tomography-08-00032-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/4fde653b9893/tomography-08-00032-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/c28d9b88c9d1/tomography-08-00032-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/9a36f3c8394b/tomography-08-00032-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/c69c049f1ab5/tomography-08-00032-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/623b9d05491c/tomography-08-00032-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/4fde653b9893/tomography-08-00032-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/c28d9b88c9d1/tomography-08-00032-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/9a36f3c8394b/tomography-08-00032-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/c69c049f1ab5/tomography-08-00032-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fabd/8877604/623b9d05491c/tomography-08-00032-g005.jpg

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