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锁骨动脉瘤样骨囊肿:一例报告。

Aneurysmal bone cyst of the clavicle: A case report.

作者信息

Korkoman Abdulrahman Jalwi, AlQahtani Abdulaziz Ali

机构信息

Orthopedic Surgery Department at the University of Bisha, Bisha, Saudi Arabia.

Orthopedic Surgery Department at the Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2023 Sep;110:108755. doi: 10.1016/j.ijscr.2023.108755. Epub 2023 Sep 1.

Abstract

INTRODUCTION

An aneurysmal bone cyst (ABC) is a locally aggressive primary bone neoplasm. ABC of the clavicle is rare with only a few reported cases in the literature.

PRESENTATION OF CASE

We report the case of a 10-year-old boy who presented with an ABC at the right acromial end of the clavicle. The patient underwent intralesional curettage and allogenic bone grafting. Moreover, the patient's arm was placed in a sling for 2 weeks postoperatively. The patient had a satisfactory outcome after 11 years, with excellent Toronto Extremity Salvage, Quick-Dash, and Musculoskeletal Tumor Society scores.

DISCUSSION

Clavicular ABCs are uncommon. Early diagnosis helps to prevent pathological fractures. Adjuvant therapies might help decrease recurrence.

CONCLUSION

ABC should be considered an important differential diagnosis for clavicular swelling and masses. The best results can be achieved using curettage and void-filled bone grafts.

摘要

引言

骨动脉瘤样囊肿(ABC)是一种具有局部侵袭性的原发性骨肿瘤。锁骨的ABC很罕见,文献中仅有少数病例报道。

病例介绍

我们报告了一名10岁男孩的病例,其右锁骨肩峰端出现了一个ABC。患者接受了病灶内刮除和同种异体骨移植。此外,术后患者的手臂用吊带固定了2周。11年后,患者取得了满意的结果,多伦多肢体挽救、快速残疾评分量表(Quick-Dash)和肌肉骨骼肿瘤学会的评分均为优秀。

讨论

锁骨ABC并不常见。早期诊断有助于预防病理性骨折。辅助治疗可能有助于降低复发率。

结论

ABC应被视为锁骨肿胀和肿块的重要鉴别诊断。刮除术和填充骨缺损的骨移植可取得最佳效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/10509914/e9a9c7a668ca/gr1.jpg

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