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A Rare Case of Non-ossifying Fibroma Causing Pathological Subtrochanteric Femur Fracture in a Child: A Common Lesion at an Uncommon Location.

作者信息

G R Harsha, Kumar Satish, M Harish, Tammali Santhosh Kumar, Bharadwaj Suhi Prakash

机构信息

Orthopedic Surgery, Sri Siddhartha Medical College and Hospital, Tumakuru, IND.

Orthopedic Surgery, Acharya Shree Bhikshu Hospital, New Delhi, IND.

出版信息

Cureus. 2024 Nov 15;16(11):e73761. doi: 10.7759/cureus.73761. eCollection 2024 Nov.

DOI:10.7759/cureus.73761
PMID:39677140
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11646487/
Abstract

Non-ossifying fibroma (NOF) is a benign expansive lytic lesion more frequently found in children and adolescents at the metaphysis of long bones in and around the knee joint, typically resolving spontaneously or by ossification. This report presents a rare case of an 11-year-old child with a pathological subtrochanteric femur fracture attributed to an underlying NOF. We describe the diagnosis and surgical management of curettage and internal fixation using a proximal humerus locking plate, resulting in complete resorption of the lytic zone and an excellent clinical outcome. This report emphasizes recognizing benign lesions such as NOF at rare locations such as the proximal femur as potential contributors to pathological fractures in the pediatric population.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/5ee4c2d790e1/cureus-0016-00000073761-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/f3a2ff1bbedc/cureus-0016-00000073761-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/35ffdf2f5cc0/cureus-0016-00000073761-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/22338be707df/cureus-0016-00000073761-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/5f85cf3008cb/cureus-0016-00000073761-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/881838a494fd/cureus-0016-00000073761-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/5ee4c2d790e1/cureus-0016-00000073761-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/f3a2ff1bbedc/cureus-0016-00000073761-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/35ffdf2f5cc0/cureus-0016-00000073761-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/22338be707df/cureus-0016-00000073761-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/5f85cf3008cb/cureus-0016-00000073761-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/881838a494fd/cureus-0016-00000073761-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/11646487/5ee4c2d790e1/cureus-0016-00000073761-i06.jpg

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本文引用的文献

1
Functional Outcome of Pediatric Subtrochanteric Fractures Treated With a Titanium Elastic Nailing System (TENS) Versus Plating.采用钛弹性髓内钉系统（TENS）与钢板治疗小儿股骨转子下骨折的功能预后
Cureus. 2023 Jun 6;15(6):e40036. doi: 10.7759/cureus.40036. eCollection 2023 Jun.
2
Titanium elastic nails vs locking plate in pediatric subtrochanteric femur fractures: A systematic review and meta-analysis.钛弹性钉与锁定钢板治疗小儿股骨转子下骨折的系统评价与Meta分析
Front Pediatr. 2023 Mar 3;11:1114265. doi: 10.3389/fped.2023.1114265. eCollection 2023.
3
Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report.
采用成人近端肱骨多轴锁定钢板治疗小儿病理性股骨转子下骨折：1例报告
SAGE Open Med Case Rep. 2022 Apr 19;10:2050313X221093112. doi: 10.1177/2050313X221093112. eCollection 2022.
4
Imaging of Non-ossifying Fibromas: A Case Series.非骨化性纤维瘤的影像学表现：病例系列
Cureus. 2021 Mar 25;13(3):e14102. doi: 10.7759/cureus.14102.
5
Is elastic stable intramedullary nail a good choice for pathological fractures of the proximal femur due to simple bone cyst in pediatric population?弹性稳定髓内钉对于小儿单纯性骨囊肿所致股骨近端病理性骨折是一个好的选择吗？
Medicine (Baltimore). 2020 Sep 25;99(39):e22364. doi: 10.1097/MD.0000000000022364.
6
The Repair of an Acute Pathological Subtrochanteric Femur Fracture Using an Adult 3.5-mm Proximal Humerus Locking Plate in an Adolescent Patient: A Case Report.青少年患者采用成人 3.5mm 肱骨近端锁定板治疗急性病理性转子下骨折：病例报告。
JBJS Case Connect. 2020 Apr-Jun;10(2):e0491. doi: 10.2106/JBJS.CC.19.00491.
7
Non-ossifying fibroma: A RAS-MAPK driven benign bone neoplasm.非骨化性纤维瘤：一种 RAS-MAPK 驱动的良性骨肿瘤。
J Pathol. 2019 Jun;248(2):127-130. doi: 10.1002/path.5259. Epub 2019 Mar 20.
8
Non-ossifying fibroma: natural history with an emphasis on a stage-related growth, fracture risk and the need for follow-up.非骨化性纤维瘤：自然病程，重点关注与阶段相关的生长、骨折风险及随访需求。
BMC Musculoskelet Disord. 2016 Apr 5;17:147. doi: 10.1186/s12891-016-1004-0.
9
Pathological fractures in children: Diagnosis and treatment options.儿童病理性骨折：诊断与治疗选择
Orthop Traumatol Surg Res. 2016 Feb;102(1 Suppl):S149-59. doi: 10.1016/j.otsr.2015.05.010. Epub 2016 Jan 7.
10
Non-ossifying fibroma, fibrous cortical defect and Jaffe-Campanacci syndrome: a biologic and clinical review.非骨化性纤维瘤、纤维皮质缺损与贾菲-坎帕纳奇综合征：生物学与临床综述
Chir Organi Mov. 2009 May;93(1):1-7. doi: 10.1007/s12306-009-0016-4. Epub 2009 Apr 29.