Laredo J D, Bonnin B, Naouri J F, Martin-Bouyer P, Bellaiche L, Hamze B, Tubiana J M
Service de Radiologie, Hôpital Saint-Antoine, Paris.
Ann Radiol (Paris). 1993;36(1):37-47.
This study of the topographic distribution of tumoral and pseudotumoral lesions of the proximal femur shows that certain lesions have a preferential site, for example osteoid osteoma affects the internal cortex of the neck and diaphysis or the intertrochanteric zone; chondroblastoma occurs in zones of epiphyseal ossification of the head; fibrous dysplasia affects the femoral neck, while sparing the epiphyseal femoral head and trochanters. The island of osteosclerosis is situated, at least partially, in the support fan; so-called physiological cysts are situated on or above the midline of the neck and below the basicapital line. Osteolytic or mixed metastases preferentially involve Ward's triangle in the femoral neck and the intertrochanteric region. The sites of these lesions therefore appears to depend on the bony architecture which, in turn, is dependent on mechanical stresses. However, this purely morphological study fails to demonstrate whether mechanical stresses influence the development of these lesions.
这项关于股骨近端肿瘤性和假肿瘤性病变的地形分布研究表明，某些病变具有优先发生部位，例如骨样骨瘤影响颈部和骨干的内皮质或转子间区域；成软骨细胞瘤发生在股骨头骨骺骨化区域；纤维发育不良影响股骨颈，而股骨头骨骺和转子则不受影响。骨硬化岛至少部分位于支撑扇形区；所谓的生理性囊肿位于颈部中线或其上方以及基底线下方。溶骨性或混合性转移瘤优先累及股骨颈的Ward三角区和转子间区域。因此，这些病变的部位似乎取决于骨骼结构，而骨骼结构又取决于机械应力。然而，这项纯粹的形态学研究未能证明机械应力是否影响这些病变的发展。
