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拇指远节指骨巨大内生软骨瘤。病例报告及文献综述。

Thumb Distal Phalanx Giant Enchondroma. A Case Presentation and Literature Review.

作者信息

Ampadiotaki Margarita-Michaela, Vlachos Christos, Papagrigorakis Eftychios, Galanis Athanasios, Mitsikostas Pantelis, Vasiliadis Elias S, Giannoulis Filippos

机构信息

Hand, Upper Extremity and Microsurgery Department, KAT Hospital, 14561 Athens, Greece.

3rd Department of Orthopaedic Surgery, KAT Hospital, University of Athens, 14561 Athens, Greece.

出版信息

Maedica (Bucur). 2024 Mar;19(1):177-181. doi: 10.26574/maedica.2024.19.1.177.

DOI:10.26574/maedica.2024.19.1.177
PMID:38736932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11079749/
Abstract

Enchordoma of the distal phalange of the thumb is extremely rare. We report a case of 31-year-old man who presented with a pathological fracture of the left thumb. Imaging evaluation revealed a lytic lesion and surgical curettage with bone graft was performed after fracture healing. Histological examination confirmed the diagnosis of enchordoma. The postoperative period was uncomplicated without signs of recurrence. Lytic lesions in the thumb are uncommon occurrences and necessitate a comprehensive examination to determine their potential causes. Given the significant functional role of the thumb compared to other fingers, it is crucial to undergo radiological assessment and further investigation of these lytic lesions.

摘要

拇指远节指骨脊索瘤极为罕见。我们报告一例31岁男性,因左拇指病理性骨折就诊。影像学评估发现溶骨性病变,骨折愈合后行手术刮除并植骨。组织学检查确诊为脊索瘤。术后恢复顺利,无复发迹象。拇指的溶骨性病变并不常见,需要进行全面检查以确定其潜在病因。鉴于拇指相对于其他手指具有重要的功能作用,对这些溶骨性病变进行放射学评估和进一步检查至关重要。

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In Vivo. 2022 May-Jun;36(3):1267-1273. doi: 10.21873/invivo.12826.
2
The management and surgical intervention timing of enchondromas: A 10-year experience.内生软骨瘤的管理与手术干预时机:十年经验
Medicine (Baltimore). 2017 Apr;96(16):e6678. doi: 10.1097/MD.0000000000006678.
3
Enchondroma of the Hand: Evaluation and Management.手部内生软骨瘤:评估与处理
J Am Acad Orthop Surg. 2016 Sep;24(9):625-33. doi: 10.5435/JAAOS-D-15-00452.
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"Soap Bubble" Lesion of the Middle Phalanx: Enchondroma or Epitheloid Hemangioma.中指指骨的“肥皂泡”样病变:内生软骨瘤还是上皮样血管瘤。
J Orthop Case Rep. 2014 Apr-Jun;4(2):47-50. doi: 10.13107/jocr.2250-0685.167.
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The surgical management of hand enchondroma without postcurettage void augmentation: authors' experience and a systematic review.无刮除后骨缺损填充的手部内生软骨瘤手术治疗:作者经验及系统评价
Hand (N Y). 2015 Sep;10(3):461-71. doi: 10.1007/s11552-015-9738-y.
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