Marin R, Papierski P
Orthopaedic Service, Landstuhl Regional Medical Center (U.S. Military), Germany.
Mil Med. 1996 Jul;161(7):438-40.
We present a case of osteoid osteoma of the humerus diagnosed after it presented clinically as impingement syndrome. Clinical and magnetic resonance imaging data supported impingement, but standard non-surgical treatment did not provide complete pain relief. Subacromial injection resolved the anterior shoulder pain and unmasked medial arm and axillary pain. Humerus X-rays revealed a lytic diaphyseal lesion, and en-bloc resection of the humeral mass diagnosed an osteoid osteoma. This case is unusual in that only 1% of osteoid osteomas present in the humeral shaft. The clinical features and presentation of impingement and osteoid osteoma are discussed.
我们报告一例肱骨骨样骨瘤病例，该病例临床上最初表现为撞击综合征。临床和磁共振成像数据支持撞击的诊断，但标准的非手术治疗未能完全缓解疼痛。肩峰下注射缓解了肩部前方疼痛，并暴露出上臂内侧和腋窝疼痛。肱骨X线显示骨干有溶骨性病变，对肱骨肿块进行整块切除后诊断为骨样骨瘤。该病例不同寻常之处在于，仅1%的骨样骨瘤发生于肱骨干。本文讨论了撞击综合征和骨样骨瘤的临床特征及表现。
