Solitary medial proximal tibial osteochondromas cause pes anserinus syndrome in adolescents.

IF 1.3 4区 医学 Q3 ORTHOPEDICS Journal of Childrens Orthopaedics Pub Date : 2024-09-08 eCollection Date: 2024-10-01 DOI:10.1177/18632521241276323
Fevzi Saglam, Muhammed Fatih Serttas
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Abstract

Objective: Osteochondromas are common bone tumors with hyaline cartilage-covered heads, arising from cortical and medullary bone. Solitary medial proximal tibial osteochondromas (MPTOs) can cause pes anserinus syndrome via compression. However, the literature lacks comprehensive studies on MPTO-related pes anserinus syndrome and its surgical outcomes.

Material and method: The study reviewed 227 patients diagnosed with osteochondroma between January 2018 and January 2022, with 21 patients meeting inclusion criteria: under 19 years, MPTO, surgical excision, histological diagnosis, ≥1-year follow-up. Cases with irregular follow-ups and multiple hereditary exostoses were excluded. Different surgical techniques were employed based on lesion characteristics. Postoperative weight bearing was allowed, and follow-ups involved postoperative complications assessment, clinical data collection, imaging, and functional evaluations using the International Knee Documentation Committee (IKDC) and Hospital for Special Surgery Pediatric Functional Activity Brief Scale scoring systems.

Results: The study involved 21 adolescents (15 ± 2 years). Lesion types were predominantly pedunculated (86%) and surgical interventions involved pes anserinus split (76%) or tenoplasty (24%). No significant correlations were observed between lesion dimensions and IKDC scores. Split intervention led to a significant improvement in IKDC scores (p < 0.01), while tenoplasty showed similar results (p < 0.05). Athlete status did not affect IKDC scores significantly, but both athletes and non-athletes demonstrated improvements (p < 0.05).

Conclusion: The negative impact of MPTOs causing pes anserinus tendinitis on the patient's quality of life and activity can be completely corrected with surgical treatment. Complete pes anserinus tendon cutting and subsequent repair are recommended if they facilitate surgery. The study underscores the importance of surgical management for MPTO-related pes anserinus syndrome and provides insights into the effectiveness of different surgical techniques.

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孤独性胫骨近端内侧骨软骨瘤导致青少年拇趾趾骨综合征。
目的:骨软骨瘤是一种常见的骨肿瘤,其头部为透明软骨覆盖,产生于皮质和髓质骨。单发的胫骨近端内侧骨软骨瘤(MPTO)可通过压迫引起趾骨综合征。然而,文献缺乏对 MPTO 相关拇趾综合征及其手术效果的全面研究:研究回顾了2018年1月至2022年1月期间确诊的227例骨软骨瘤患者,其中21例患者符合纳入标准:19岁以下、MPTO、手术切除、组织学诊断、随访≥1年。随访不规律和多发性遗传性外软骨病病例被排除在外。根据病变特点采用不同的手术方法。术后允许负重,随访包括术后并发症评估、临床数据收集、影像学检查以及使用国际膝关节文献委员会(IKDC)和特殊外科医院儿科功能活动简易量表评分系统进行的功能评估:研究涉及 21 名青少年(15 ± 2 岁)。病变类型主要为足底型(86%),手术干预包括踝趾分离术(76%)或腱成形术(24%)。病变尺寸与IKDC评分之间无明显相关性。劈裂干预可显著改善 IKDC 评分(p p p 结论:通过手术治疗,可以完全纠正由 MPTO 引起的拇趾腱鞘炎对患者生活质量和活动能力的负面影响。如果方便手术,建议对拇趾肌腱进行完全切断并随后进行修复。该研究强调了手术治疗 MPTO 相关趾踝综合征的重要性,并对不同手术技术的有效性进行了深入探讨。
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来源期刊
Journal of Childrens Orthopaedics
Journal of Childrens Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
2.70
自引率
14.30%
发文量
61
审稿时长
23 weeks
期刊介绍: Aims & Scope The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery. It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents. The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology. The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
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