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一例罕见的股骨颈单房性骨囊肿病例:一名14岁男性患者的成功治疗

A unique case of a unicameral bone cyst in the femoral neck: Successful management in a 14-year-old male.

作者信息

Alomar Khaled, Al Salamah Mhmoud Adnan, Halabi Hasan, Alomar Mohammad

机构信息

Damascus University, Damascus, Syria.

Idlib University Hospital, Idlib University, Syria.

出版信息

Int J Surg Case Rep. 2025 Apr 23;131:111356. doi: 10.1016/j.ijscr.2025.111356.

DOI:10.1016/j.ijscr.2025.111356
PMID:40279993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12060510/
Abstract

INTRODUCTION

Unicameral bone cysts (UBCs) are benign bone lesions that may resemble tumors. The mechanism of their formation is not precisely known. They tend to manifest with pain in the area of the lesion, thinning of the adjacent bone cortex, and may lead to bone fractures.

CASE PRESENTATION

A 14-year-old boy presented with severe pain in the left hip joint area, which resulted in limping and a tendency to avoid weight-bearing on the affected limb due to the associated pain. He was diagnosed with a unicameral bone cyst and treated percutaneously with aspiration, bone compaction, and fixation.

CLINICAL DISCUSSION

Unicameral bone cysts, when located in the hip area, can cause severe pain, potentially leading to compensatory scoliosis and limping. Treatment is essential in this case due to the sensitivity of the area, the high probability of fracture, and the presence of severe pain.

CONCLUSION

This article focuses on a rare case of a unicameral bone cyst in the femoral neck area, successfully managed percutaneously without open surgical intervention. Prophylactic fixation of the femoral neck resulted in an excellent observed outcome.

摘要

引言

单房性骨囊肿(UBCs)是一种可能类似肿瘤的良性骨病变。其形成机制尚不完全清楚。它们往往表现为病变部位疼痛、相邻骨皮质变薄,并可能导致骨折。

病例报告

一名14岁男孩因左髋关节区域剧痛就诊,由于疼痛,导致跛行且患肢有避免负重的倾向。他被诊断为单房性骨囊肿,并接受了经皮穿刺抽吸、骨压实和固定治疗。

临床讨论

单房性骨囊肿位于髋部时,可引起严重疼痛,可能导致代偿性脊柱侧弯和跛行。鉴于该区域的敏感性、骨折的高概率以及严重疼痛的存在,在这种情况下进行治疗至关重要。

结论

本文重点介绍了一例罕见的股骨颈区域单房性骨囊肿病例,经皮成功治疗,无需开放手术干预。对股骨颈进行预防性固定取得了极佳的观察结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/7408f7650e81/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/7fa13852d3d8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/81ed60b20f50/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/08a7581c190e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/3b8932828c3a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/6293a4ee2518/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/01b082cf2d45/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/7408f7650e81/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/7fa13852d3d8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/81ed60b20f50/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/08a7581c190e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/3b8932828c3a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/6293a4ee2518/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/01b082cf2d45/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1966/12060510/7408f7650e81/gr7.jpg

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