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经非骨化性纤维瘤的病理性骨折。梅奥诊所经验回顾。

Pathological fractures through non-ossifying fibromas. Review of the Mayo Clinic experience.

作者信息

Arata M A, Peterson H A, Dahlin D C

出版信息

J Bone Joint Surg Am. 1981 Jul;63(6):980-8.

PMID:7240338
Abstract

Twenty-three cases of a pathological fracture through a lesion verified histologically as non-ossifying fibroma were seen over a forty-nine-year period. The average age of the patients at the time of fracture was twelve years. All fractures except one were located in the lower extremity, most frequently in the distal end of the tibia (ten). The percentage of bone occupied by the fibroma in the transverse plane exceeded 50 per cent on both the anteroposterior and the lateral radiographs in every patient. The vertical length was always the maximum dimension and in all non-fibular lesions exceeded thirty-three millimeters. Treatment consisted of cast immobilization with biopsy at a later date, simple curettage, curettage and autogenous bone-grafting, or segmental resection of fibular lesions.

摘要

在49年的时间里,共发现23例经组织学证实为非骨化性纤维瘤的病理性骨折病例。骨折时患者的平均年龄为12岁。除1例骨折外,所有骨折均位于下肢,最常见于胫骨远端(10例)。在每位患者的前后位和侧位X线片上,纤维瘤在横断面上占据的骨组织百分比均超过50%。垂直长度始终是最大尺寸,在所有非腓骨病变中均超过33毫米。治疗方法包括石膏固定并在后期进行活检、单纯刮除、刮除并自体骨移植,或对腓骨病变进行节段性切除。

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