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前上尺桡侧副韧带:肘部病变中的罕见与认识——病例报告及文献复习。

The enigmatic os supratrochleare anterius: from rarity to recognition in elbow pathology-case report and review of literature.

机构信息

Department of Anatomy, Histology and Embryology, Medical University of Sofia, Sofia, Bulgaria.

Department of Anatomical Sciences, St. George's University, True Blue, Grenada.

出版信息

Surg Radiol Anat. 2024 Apr;46(4):483-487. doi: 10.1007/s00276-024-03321-0. Epub 2024 Feb 26.

DOI:10.1007/s00276-024-03321-0
PMID:38407599
Abstract

Accessory bones around the elbow are scarce, with a reported mean incidence rate of 0.77%. The rarest one is the os supratrochleare anterius, with only a handful of documented cases in the literature. Despite their scarcity, various types of ossicles have been documented, posing diagnostic challenges and potential misinterpretation on X-rays. Herein, we report a case of an accidentally found os supratrochleare anterius in a 43-year-old pig farmer presenting with symptoms of tennis elbow. After conservative treatment with nonsteroidal anti-inflammatory drugs and physiotherapy, he made a full recovery within 2 weeks. This report emphasizes the rarity of the ossupra trochleare anterius, the importance of accurate diagnosis, and the need for continued research and awareness of this anatomical variation.

摘要

肘部周围的副骨很少见,据报道其平均发生率为 0.77%。其中最罕见的是前上尺副骨(os supratrochleare anterius),文献中仅有少数几例有记录。尽管它们很罕见,但已经有多种类型的小骨被记录下来,这给 X 光片的诊断带来了挑战,并可能导致误诊。在此,我们报告一例 43 岁养猪农民因网球肘出现症状而意外发现的前上尺副骨。经非甾体抗炎药和物理治疗的保守治疗后,他在 2 周内完全康复。本报告强调了前上尺副骨的罕见性,准确诊断的重要性,以及对这种解剖变异进行持续研究和认识的必要性。

相似文献

1
The enigmatic os supratrochleare anterius: from rarity to recognition in elbow pathology-case report and review of literature.前上尺桡侧副韧带:肘部病变中的罕见与认识——病例报告及文献复习。
Surg Radiol Anat. 2024 Apr;46(4):483-487. doi: 10.1007/s00276-024-03321-0. Epub 2024 Feb 26.
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Os supratrochleare anterius: a very rare clinical case and review of literature.前上髁嵴:一个非常罕见的临床病例及文献回顾。
Surg Radiol Anat. 2024 Sep;46(9):1455-1463. doi: 10.1007/s00276-024-03418-6. Epub 2024 Jun 26.
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Acta Orthop Scand. 1987 Apr;58(2):130-2. doi: 10.3109/17453678709146457.
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The nidus of an osteoid osteoma mimicking an os supratrochleare dorsale.类骨骨瘤的瘤巢酷似背侧滑车上骨。
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[Os supratrochleare humeri (author's transl)].肱骨滑车上孔(作者译)
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本文引用的文献

1
Accessory bones of the elbow: Prevalence, localization and modified classification.肘部副骨:发生率、定位及改良分类。
J Anat. 2020 Oct;237(4):618-622. doi: 10.1111/joa.13233. Epub 2020 Aug 24.
2
An accessory bone and other bilateral skeletal anomalies of the elbow.肘部的副骨及其他双侧骨骼异常。
Radiology. 1949 Jul;53(1):97-100. doi: 10.1148/53.1.97.
3
Bilateral antecubital ossicles (fabellae cubiti) and other rare accessory bones of the elbow.双侧肘前籽骨(肘小骨)及肘部其他罕见的副骨。
Radiology. 1957 Nov;69(5):730-4. doi: 10.1148/69.5.730.
4
Loose bodies in the elbow.肘部游离体
Br J Surg. 1975 Nov;62(11):921-4. doi: 10.1002/bjs.1800621116.