Torg J S, Loughran T, Pavlov H, Schwamm H, Gregg J, Sherman M, Balduini F C
Sports Med. 1985 Jul-Aug;2(4):296-304. doi: 10.2165/00007256-198502040-00007.
Osteoid osteoma, a benign osteoblastic tumour comprised of osteoid and atypical bone, is a well-known entity. However, clinical diagnosis may be delayed, especially when the pain is referred to a nearby joint. This paper reports a series of 11 cases occurring in physically active patients in whom the diagnosis was delayed because of pain referral to the knee. The mean duration from the onset of symptoms to diagnosis of osteoid osteoma was 20 months (range 3 to 48 months). Review of these 11 lesions indicates that they can be classified on the basis of their anatomical location: (a) distant to the knee; (b) periarticular; or (c) subarticular (intraarticular). It should be noted that initially only 5 of the 11 cases displayed characteristic x-ray findings; in the remaining 6 cases, diagnosis was dependent on positive 99mTc radionuclide bone scans, tomograms, and computerised tomography scans. Of the 9 patients who underwent surgical resection of their lesions, all had complete relief of symptoms and all continued to be asymptomatic at follow-up evaluations.
骨样骨瘤是一种由类骨质和非典型骨组成的良性成骨肿瘤，是一种广为人知的疾病。然而，临床诊断可能会延迟，尤其是当疼痛牵涉到附近关节时。本文报告了一系列发生在身体活跃患者中的11例病例，这些病例因疼痛牵涉到膝关节而导致诊断延迟。从骨样骨瘤症状出现到诊断的平均时间为20个月（范围为3至48个月）。对这11个病灶的回顾表明，它们可根据解剖位置进行分类：(a) 远离膝关节；(b) 关节周围；或 (c) 关节下（关节内）。应当指出，最初11例病例中只有5例显示出特征性的X线表现；其余6例病例的诊断依赖于99mTc放射性核素骨扫描、断层扫描和计算机断层扫描结果为阳性。在接受手术切除病灶的9例患者中，所有患者的症状均完全缓解，并且在随访评估中均持续无症状。
