Department of Rehabilitation Medicine, Affiliated Huishan Hospital of Xinglin College, Nantong University, Wuxi Huishan District People's Hospital, Wuxi City, Jiangsu Province, China.
Department of Rehabilitation Therapy, Wuxi Central Rehabilitation Hospital, Wuxi City, Jiangsu Province, China.
Medicine (Baltimore). 2024 Nov 29;103(48):e40682. doi: 10.1097/MD.0000000000040682.
Osteoid osteoma, accounting for approximately 10% of benign bone tumors, is predominantly found in long bones and rarely in the foot bones, such as the talus. Its nonspecific symptoms, such as nocturnal pain and swelling, often lead to misdiagnosis, especially when it mimics conditions like ankle synovitis.
A 27-year-old male presented with persistent pain and swelling in his left ankle following an injury at the gym. Initial treatments, including arthroscopic debridement, failed to resolve his symptoms.
Comprehensive evaluation using magnetic resonance imaging and computed tomography scans, coupled with input from a multidisciplinary team of specialists, confirmed the diagnosis of ankle osteoid osteoma.
Following the confirmation of the diagnosis, the patient underwent surgical interventions, including peripheral nerve transfer, joint debridement, resection of calcaneal and talus lesions, and tendon release. These procedures were designed to address the underlying tumor and restore joint function.
After surgical intervention, the patient experienced substantial relief from pain and significant improvement in functional recovery. Postoperative rehabilitation further facilitated the restoration of mobility and strength, with no recurrence of symptoms observed during follow-up.
This case highlights the diagnostic complexity of ankle osteoid osteoma and underscores the importance of a multidisciplinary approach. Rehabilitation therapists play a crucial role in managing such conditions, ensuring optimal patient outcomes through functional assessment and progress monitoring. Timely and accurate diagnosis is essential for effective treatment and improved patient quality of life.
骨样骨瘤约占良性骨肿瘤的 10%，主要发生在长骨，很少发生在足部骨骼，如距骨。其非特异性症状，如夜间疼痛和肿胀，常导致误诊，尤其是当它模仿踝关节滑膜炎等疾病时。
一名 27 岁男性在健身房受伤后出现左踝关节持续疼痛和肿胀。初始治疗，包括关节镜下清创术，未能缓解他的症状。
使用磁共振成像和计算机断层扫描进行全面评估，并结合多学科专家团队的意见，确认了踝关节骨样骨瘤的诊断。
确诊后，患者接受了手术干预，包括外周神经转移、关节清创、切除跟骨和距骨病变以及肌腱松解。这些手术旨在解决潜在的肿瘤并恢复关节功能。
手术后，患者的疼痛明显缓解，功能恢复显著改善。术后康复进一步促进了活动度和力量的恢复，在随访期间未观察到症状复发。
本病例突出了踝关节骨样骨瘤的诊断复杂性，并强调了多学科方法的重要性。康复治疗师在管理此类疾病中发挥着至关重要的作用，通过功能评估和进展监测确保患者获得最佳结果。及时准确的诊断对于有效治疗和提高患者生活质量至关重要。
