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23岁患者边缘切除治疗不定性滑囊炎成功:病例报告

Successful Treatment of Adventitious Bursitis With Marginal Resection in a 23-Year-Old Patient: A Case Report.

作者信息

Kavak Şeyhmus, Celayir Arın, Yavuz Ulas, Kargin Firat, Seker Ali

机构信息

Department of Orthopedics and Traumatology, Cerrahpasa Faculty of Medicine, Istanbul University - Cerrahpasa, Istanbul, TUR.

Department of Orthopedics and Traumatology, Cerrahpasa Faculty of Medicine, Istanbul University - Cerrahpasa, ıstanbul, TUR.

出版信息

Cureus. 2024 Dec 12;16(12):e75615. doi: 10.7759/cureus.75615. eCollection 2024 Dec.

DOI:10.7759/cureus.75615
PMID:39803070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11724758/
Abstract

Adventitious bursitis is an inflammatory condition affecting bursae. Distinct from primary or infectious bursitis, adventitious bursitis typically develops secondary to conditions such as rheumatoid arthritis, gout, or repetitive joint overuse. The resulting inflammation can lead to pain, swelling, and restricted mobility, significantly impacting patients' quality of life. In this paper, we present the case of a 23-year-old patient who reported to our clinic with swelling and pain localized to the right arm. Clinical examination, imaging studies, and histopathological analysis confirmed a preliminary diagnosis of adventitious bursitis associated with osteochondroma, which had exhibited rapid growth. Diagnostic evaluation included ultrasonography and MRI, which identified bursal inflammation and its relation to the underlying osteochondroma. The patient was treated successfully through marginal resection. Postoperative follow-up demonstrated significant symptom relief and restored joint functionality. This case underscores the importance of thorough diagnostic assessment and surgical management in achieving optimal outcomes for patients with adventitious bursitis.

摘要

创伤性滑囊炎是一种影响滑囊的炎症性疾病。与原发性或感染性滑囊炎不同,创伤性滑囊炎通常继发于类风湿性关节炎、痛风或关节反复过度使用等疾病。由此产生的炎症会导致疼痛、肿胀和活动受限,严重影响患者的生活质量。在本文中,我们介绍了一名23岁患者的病例,该患者因右臂局部肿胀和疼痛前来我们诊所就诊。临床检查、影像学研究和组织病理学分析证实初步诊断为与骨软骨瘤相关的创伤性滑囊炎,该骨软骨瘤生长迅速。诊断评估包括超声检查和磁共振成像,其确定了滑囊炎症及其与潜在骨软骨瘤的关系。该患者通过边缘切除术成功治愈。术后随访显示症状明显缓解,关节功能恢复。该病例强调了全面诊断评估和手术管理对于创伤性滑囊炎患者实现最佳治疗效果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/8752b37052a0/cureus-0016-00000075615-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/1155c0363b0d/cureus-0016-00000075615-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/f3436688265b/cureus-0016-00000075615-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/c0921ba8809b/cureus-0016-00000075615-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/226883499878/cureus-0016-00000075615-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/8752b37052a0/cureus-0016-00000075615-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/1155c0363b0d/cureus-0016-00000075615-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/f3436688265b/cureus-0016-00000075615-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/c0921ba8809b/cureus-0016-00000075615-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/226883499878/cureus-0016-00000075615-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c6/11724758/8752b37052a0/cureus-0016-00000075615-i05.jpg

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本文引用的文献

1
Vanishing solitary osteochondroma of humerus following trauma: A case report.创伤后肱骨孤立性骨软骨瘤消失:一例报告
Trauma Case Rep. 2023 Jun 8;46:100874. doi: 10.1016/j.tcr.2023.100874. eCollection 2023 Aug.
2
A Rare Case of Lateral Forefoot Pain: Plantar Adventitious Bursitis.一例罕见的前足外侧疼痛病例:足底假性滑囊炎
Cureus. 2020 Jul 5;12(7):e9011. doi: 10.7759/cureus.9011.
3
Adventitious bursitis in the plantar fat pad of forefoot presenting as a tumoral mass.前足跖脂肪垫的偶然性滑囊炎表现为肿瘤样肿块。
J Radiol Case Rep. 2020 Feb 29;14(2):12-20. doi: 10.3941/jrcr.v14i2.3711. eCollection 2020 Feb.
4
Osteochondromas of the Proximal Humerus. Diagnostic and Therapeutic Management.肱骨近端骨软骨瘤。诊断与治疗管理
Rev Esp Cir Ortop Traumatol (Engl Ed). 2018 May-Jun;62(3):168-177. doi: 10.1016/j.recot.2017.12.003. Epub 2018 Mar 20.
5
Ultrasound evaluation of bursae: anatomy and pathological appearances.滑囊的超声评估:解剖结构与病理表现
Skeletal Radiol. 2017 Apr;46(4):445-462. doi: 10.1007/s00256-017-2577-x. Epub 2017 Feb 11.
6
Adventitious bursitis overlying an osteochondroma of the humerus facing the thoracic wall.肱骨骨软骨瘤上方朝向胸壁的异位滑囊炎。
Case Rep Radiol. 2013;2013:939372. doi: 10.1155/2013/939372. Epub 2013 Nov 28.
7
Bursitis, adventitious bursa, localized soft-tissue inflammation, and bone marrow edema in tibial stumps: the contribution of magnetic resonance imaging to the diagnosis and management of mechanical stress complications.滑囊炎、假性滑囊、局部软组织炎症以及胫骨残端骨髓水肿:磁共振成像在机械应力并发症诊断和管理中的作用
Arch Phys Med Rehabil. 2003 May;84(5):770-7. doi: 10.1016/s0003-9993(02)04808-6.