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髋臼周围动脉瘤样骨囊肿的评估与处理——4例病例系列

Assessment and management of periacetabular aneurysmal bone cysts-a series of four cases.

作者信息

Beyer Reagan S H, Steiner Quinn, Hennessy David W, Rosas Humberto G, Goodspeed David C, Spiker Andrea M

机构信息

Department of Orthopedic Surgery, University of Wisconsin-Madison, 1685 Highland Ave, Madison, WI 53705, USA.

Department of Radiology, University of Wisconsin-Madison, 600 Highland Ave, Madison, WI 53792, USA.

出版信息

J Hip Preserv Surg. 2024 Dec 6;12(1):11-19. doi: 10.1093/jhps/hnae040. eCollection 2025 Jan.

Abstract

Aneurysmal bone cysts (ABCs) in the periacetabular region can be challenging to treat because they create unique problems, given their proximity to articular cartilage and a significant weight bearing surface. This case series details the assessment and treatment of four periacetabular ABCs with a review of pertinent current literature. Treatment approaches used include curettage with 6% phenol chemical adjuvant, type III hemipelvectomy, serial image-guided sclerotherapy injections, and in one case, an exostotic lesion was treated with hip arthroscopy.

摘要

髋臼周围区域的骨囊肿(ABCs)治疗起来颇具挑战性,因为其靠近关节软骨和重要的负重面,会产生一些独特的问题。本病例系列详细介绍了4例髋臼周围ABCs的评估与治疗,并对相关的当前文献进行了综述。所采用的治疗方法包括刮除术联合6%苯酚化学辅助剂、III型半骨盆切除术、系列影像引导下硬化剂注射,在1例病例中,外生性病变采用髋关节镜治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1289/12051852/1a1492757329/hnae040f1.jpg

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