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股骨近端骨干骨样骨瘤酷似腰椎神经根病。

Proximal femur diaphysis osteoid osteoma mimicking lumbar radiculopathy.

作者信息

Saçaklıdır Rekib, Huseynli Leyla, Şencan Savaş, Gündüz Osman Hakan

机构信息

Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Faculty of Medicine, Istanbul, Türkiye.

Department of Physical Medicine and Rehabilitation, Marmara University Faculty of Medicine, Istanbul, Türkiye.

出版信息

Turk J Phys Med Rehabil. 2022 Aug 1;69(3):385-388. doi: 10.5606/tftrd.2023.10653. eCollection 2023 Sep.

Abstract

Osteoid osteoma is a benign bone tumor that commonly arises from the metaphyseal and diaphyseal regions of long bones. Pain is often the first symptom, and it can mimic many diseases. Herein, we report a 36-year-old male patient who presented with complaints of lower back pain radiating to the right extremity for a year. In the patient's history, physical therapy, platelet-rich plasma, pregabalin, and duloxetine were used, with the only benefit from indomethacin. An X-ray of the femur was requested, and the diagnosis of osteoid osteoma was confirmed by magnetic resonance imaging. Osteoid osteoma should be kept in mind as a differential diagnosis of persistent pain despite treatment.

摘要

骨样骨瘤是一种常见于长骨干骺端和骨干区域的良性骨肿瘤。疼痛通常是首发症状,且可能与多种疾病相似。在此,我们报告一名36岁男性患者,他因下背部疼痛并向右下肢放射一年前来就诊。在患者病史中,曾接受物理治疗、富血小板血浆治疗、服用普瑞巴林和度洛西汀,仅吲哚美辛有一定疗效。对其进行了股骨X线检查,并通过磁共振成像确诊为骨样骨瘤。尽管进行了治疗,但对于持续性疼痛仍应将骨样骨瘤作为鉴别诊断考虑在内。

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