Tüzüner S, Aydin A T
Department of Orthopaedics and Trauma Surgery, Hospital of the University of Akdeniz, Antalya, Turkey.
Arthroscopy. 1998 May-Jun;14(4):405-9. doi: 10.1016/s0749-8063(98)70009-x.
The case of a 14-year-old girl with osteoid osteoma of the talar neck that localized subperiostaly with a 1-year history of persistent ankle pain is presented. The diagnosis was made on the basis of clinical appearance, radiography, technetium-99m diphosphonate scintigraphy, and magnetic resonance imaging findings. Subsequently, she underwent arthroscopic excision of the lesion using a motorized burr and curette. After the intervention, there was prompt relief of symptoms and no recurrence during a follow-up period of 22 months. However, pathological study of the arthroscopic shavings failed to confirm the preoperative diagnosis. We concluded that the arthroscopic excision of an osteoid osteoma in an accessible location on the talar neck is an appropriate surgical intervention, but it should be done by using nonmotorized instruments for better pathological examination of the lesion.
本文报告了一例14岁女孩，患有距骨颈骨样骨瘤，位于骨膜下，有1年持续性踝关节疼痛病史。诊断基于临床表现、X线摄影、锝-99m二膦酸盐闪烁扫描和磁共振成像结果。随后，她接受了关节镜下使用电动磨钻和刮匙切除病变。干预后，症状迅速缓解，在22个月的随访期内无复发。然而，对关节镜刮除物的病理研究未能证实术前诊断。我们得出结论，在距骨颈可触及部位的骨样骨瘤进行关节镜切除是一种合适的手术干预，但应使用非电动器械进行，以便对病变进行更好的病理检查。
