Laflamme G Y, Stanciu C
Service d'Orthopédie, Centre Hospitalier Universitaire Mère-Enfant, Hôpital Sainte-Justine, Montréal, Québec, Canada.
Ann Chir. 1998;52(8):791-4.
In the hand, osteochondromas are rarely found. When encountered, these lesions occur at the metaphyseal region adjacent to the growth plate usually in patients with multiple hereditary exostosis. Our experience with solitary epiphyseal osteochondromas in the phalanges of seven children is reviewed. All patients presented a progressive angular deformity leading to limited function of the hand. Five patients had limited range of motion. Good restoration of motion and function was achieved by excision of the lesion and collateral ligament reconstruction. Early resection is recommended to correct and prevent further deformation in the growing skeleton of children.
手部很少发现骨软骨瘤。一旦发现，这些病变通常发生在与生长板相邻的干骺端区域，多见于患有多发性遗传性骨软骨瘤病的患者。本文回顾了我们对7例儿童指骨孤立性骨骺骨软骨瘤的治疗经验。所有患者均出现渐进性角状畸形，导致手部功能受限。5例患者活动范围有限。通过切除病变和重建侧副韧带，实现了运动和功能的良好恢复。建议早期切除，以纠正并防止儿童生长骨骼进一步变形。
