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距骨动脉瘤样骨囊肿：一例报告

Aneurysmal Bone Cyst of Talus: A Case Report.

作者信息

Chigblo Segla Pascal, Tidjani Ireti Fiacre, Hadonou Armel Ayaovi, Takin Romulus, Agbessi Fifonsi Odry, Hans-Moevi Aristote Akue

机构信息

Department of Orthopedic-Traumatology, National Teaching Hospital, CNHU-HKM, Cotonou, Benin.

Department of Surgery, Departmental Teaching Hospital CHUD/BA, Parakou, Benin.

出版信息

J Orthop Case Rep. 2025 Sep;15(9):125-129. doi: 10.13107/jocr.2025.v15.i09.6040.

DOI:10.13107/jocr.2025.v15.i09.6040
PMID:40936827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12422695/
Abstract

INTRODUCTION

Aneurysmal bone cyst (ABC) is a metaphyseal bone tumor that is frequent in children. Talar location is exceptional.

CASE REPORT

We report a case of this rare lesion managed in our department. It was a 16-year-old girl who presented with heel pain at walk, without any trauma. Radiologic explorations found a pathologic fracture of the right talus due to a bone cyst. A surgical procedure was proceeded, with curettage, and bone grafting completed by a plastered immobilization. Histopathology confirmed the diagnosis of ABC. Consolidation was achieved in 2 months, and there was no recurrence after 5 years.

CONCLUSION

ABC of the talus is a rare etiology of heel pain, which must not be forgotten in children.

摘要

引言

动脉瘤样骨囊肿（ABC）是一种常见于儿童的干骺端骨肿瘤。距骨部位的情况较为罕见。

病例报告

我们报告在本科室处理的这例罕见病变。患者为一名16岁女孩，行走时足跟疼痛，无任何外伤史。影像学检查发现右距骨因骨囊肿发生病理性骨折。进行了手术，包括刮除术，并通过石膏固定完成骨移植。组织病理学确诊为ABC。2个月后实现骨愈合，5年后无复发。

结论

距骨ABC是足跟疼痛的罕见病因，在儿童中不应被忽视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/7846f85187a4/JOCR-15-125-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/2657b8029f94/JOCR-15-125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/469ca15149ec/JOCR-15-125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/8baf2933958d/JOCR-15-125-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/936ffe58c74f/JOCR-15-125-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/e5a0b97664f6/JOCR-15-125-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/7846f85187a4/JOCR-15-125-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/2657b8029f94/JOCR-15-125-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/469ca15149ec/JOCR-15-125-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/8baf2933958d/JOCR-15-125-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/936ffe58c74f/JOCR-15-125-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/e5a0b97664f6/JOCR-15-125-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9ff/12422695/7846f85187a4/JOCR-15-125-g006.jpg

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本文引用的文献

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Cureus. 2024 Jan 11;16(1):e52078. doi: 10.7759/cureus.52078. eCollection 2024 Jan.
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Aneurysmal bone cyst: a review.动脉瘤样骨囊肿：综述
J Pathol Transl Med. 2023 Mar;57(2):81-87. doi: 10.4132/jptm.2023.02.23. Epub 2023 Mar 14.
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Update on aneurysmal bone cyst: pathophysiology, histology, imaging and treatment.动脉瘤样骨囊肿更新：病理生理学、组织学、影像学和治疗。
Pediatr Radiol. 2022 Aug;52(9):1601-1614. doi: 10.1007/s00247-022-05396-6. Epub 2022 Aug 9.
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Medial malleolar osteotomy for intralesional curettage and bone grafting of primary aneurysmal bone cyst of the talus.距骨原发性骨巨细胞瘤病灶内刮除植骨术中的内踝骨切开术。
BMJ Case Rep. 2021 May 7;14(5):e242452. doi: 10.1136/bcr-2021-242452.
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Primary aneurysmal bone cyst of the calcaneum: A report of three cases and review of literature.跟骨原发性骨巨细胞瘤：三例报告并文献复习。
Foot (Edinb). 2021 Jun;47:101795. doi: 10.1016/j.foot.2021.101795. Epub 2021 Mar 2.
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Atypical Presentation of Navicular Aneurysmal Bone Cyst in a Symptomatic Pediatric Flatfoot Deformity: A Case Report.舟状骨动脉瘤样骨囊肿在儿童平足畸形中的不典型表现：病例报告。
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