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髌骨骨样骨瘤:前膝痛的罕见病因。

Patellar Osteoid Osteoma: A Rare Cause for Anterior Knee Pain.

作者信息

Jagadish Sushruth, Prahallad Amaresh Cadapa, Ramachandra Harshavardhan Bhaktharahalli, Kumar Nanjunda

机构信息

Department of Orthopaedics, Ramakrishna Superspeciality Hospital, Jayanagar 1st Block, Bangalore, Karnataka, India.

出版信息

J Orthop Case Rep. 2025 May;15(5):25-28. doi: 10.13107/jocr.2025.v15.i05.5542.

DOI:10.13107/jocr.2025.v15.i05.5542
PMID:40351655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12064223/
Abstract

INTRODUCTION

Osteoid osteoma is a benign osteoblastic lesion occurring in the diaphysis of the long bones most commonly. Patellar osteoid osteoma is very rare and most commonly associated with anterior knee pain.

CASE REPORT

A 21-year-old male presenting with anterior knee pain was diagnosed to have patellar osteoid osteoma after 4 years of onset of symptoms and was treated with radiofrequency ablation. One year following the ablation patient remains pain-free and has a complete range of movements.

CONCLUSION

Atypical location of the tumor makes it difficult to diagnose resulting in delayed management. Hence, it is important to have patellar osteoid osteoma as one of the differential diagnosis in patients having chronic anterior knee pain. Radiofrequency ablation is a novel and minimally invasive procedure for the treatment of Patellar Osteoid Osteoma which can help in resolution of anterior knee pain.

摘要

引言

骨样骨瘤是一种最常见于长骨干骺端的良性成骨细胞性病变。髌骨骨样骨瘤非常罕见,最常与膝前疼痛相关。

病例报告

一名21岁男性,出现膝前疼痛,症状出现4年后被诊断为髌骨骨样骨瘤,并接受了射频消融治疗。消融术后一年,患者仍无疼痛,活动范围完全正常。

结论

肿瘤的非典型位置使其难以诊断,导致治疗延迟。因此,对于患有慢性膝前疼痛的患者,将髌骨骨样骨瘤作为鉴别诊断之一很重要。射频消融是一种治疗髌骨骨样骨瘤的新型微创方法,有助于缓解膝前疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f5/12064223/c926fd2ee0e0/JOCR-15-25-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f5/12064223/2acf3004a3bd/JOCR-15-25-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f5/12064223/95ce2e383f66/JOCR-15-25-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f5/12064223/c926fd2ee0e0/JOCR-15-25-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f5/12064223/2acf3004a3bd/JOCR-15-25-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f5/12064223/95ce2e383f66/JOCR-15-25-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f5/12064223/c926fd2ee0e0/JOCR-15-25-g003.jpg

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本文引用的文献

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Osteoid Osteoma: An Updated Review of Epidemiology, Pathogenesis, Clinical Presentation, Radiological Features, and Treatment Option.骨样骨瘤:流行病学、发病机制、临床表现、影像学特征和治疗选择的更新综述。
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Patellar Osteoid Osteoma as a Cause of Intractable Anterior Knee Pain - A Case Report and Systematic Review of Literature.髌骨骨样骨瘤作为顽固性前膝痛的病因——病例报告及文献系统综述
J Orthop Case Rep. 2020;10(2):29-34. doi: 10.13107/jocr.2020.v10.i02.1684.
3
A review of literature: Mosaicoplasty as an alternative treatment for resection of patellar osteoid osteoma and cartilage reconstruction.
文献综述:马赛克成形术作为髌骨骨样骨瘤切除及软骨重建的替代治疗方法。
J Orthop. 2018 May 17;15(3):768-771. doi: 10.1016/j.jor.2018.05.036. eCollection 2018 Sep.
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Primary tumors of the patella.髌骨原发性肿瘤
World J Surg Oncol. 2015 Apr 25;13:163. doi: 10.1186/s12957-015-0573-y.
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Osteoid osteoma treated by percutaneous thermal ablation: when do we fail? A systematic review and guidelines for future reporting.经皮热消融治疗骨样骨瘤:我们何时会失败?一项系统评价及未来报告指南
Cardiovasc Intervent Radiol. 2014 Dec;37(6):1530-9. doi: 10.1007/s00270-013-0815-8. Epub 2013 Dec 13.
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Patellar osteoid osteoma as a cause of anterior knee pain in adolescents: a case report and literature review.髌骨骨样骨瘤作为青少年膝前疼痛的原因:一例报告及文献综述
Case Rep Med. 2013;2013:746472. doi: 10.1155/2013/746472. Epub 2013 Mar 10.
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Interstitial laser photocoagulation for the treatment of osteoid osteoma: retrospective study on 35 cases.间质激光光凝术治疗骨样骨瘤:35 例回顾性研究。
Diagn Interv Imaging. 2013 Mar;94(3):300-10. doi: 10.1016/j.diii.2012.11.002. Epub 2013 Feb 14.
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Osteoid osteoma of the patella: report of two cases.髌骨骨样骨瘤:两例报告。
Chin Med J (Engl). 2011 Dec;124(23):4096-8.
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En-bloc retrograde resection of an osteoid osteoma of the patella using computed tomography under arthroscopic control.在关节镜控制下使用计算机断层扫描对髌骨骨样骨瘤进行整块逆行切除。
J Knee Surg. 2008 Apr;21(2):136-40. doi: 10.1055/s-0030-1247808.
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Osteoid osteoma of the patella: a case report.髌骨骨样骨瘤:一例报告
Knee Surg Sports Traumatol Arthrosc. 2006 Feb;14(2):161-4. doi: 10.1007/s00167-005-0653-6. Epub 2005 Jul 19.