Craigen M A, Bennet G C, MacKenzie J R, Reid R
Royal Hospital for Sick Children, Yorkhill, Glasgow, UK.
J Bone Joint Surg Br. 1994 Sep;76(5):814-7.
We reviewed the records and radiographs of seven children who presented with knee pain, local tenderness over the medial femoral condyle, and radiological irregularity of the distal medial metaphysis of the femur suggestive of malignancy. In the five patients who had biopsies, histological changes were consistent with musculotendinous avulsion, and the dissection of ten cadavers confirmed the site to be the insertion of part of the adductor magnus. The recognition of this lesion and knowledge of its benign nature may avoid unnecessary anxiety and needless biopsy.
我们回顾了七名儿童的病历和X光片，这些儿童均表现出膝关节疼痛、股骨内侧髁局部压痛，以及股骨远端内侧干骺端的放射学不规则，提示可能为恶性病变。在接受活检的五名患者中，组织学变化与肌腱撕脱一致，对十具尸体的解剖证实该部位为大收肌部分附着点。认识到这种病变及其良性本质，可避免不必要的焦虑和活检。
