显露骨样骨瘤的肘关节单关节炎1例报告及文献复习

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Galician Medical Journal Pub Date : 2021-12-01 DOI:10.21802/gmj.2021.4.5
N. El Ouardi, S. Sadni, L. Taoubane, A. Mounach, A. Bezza
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引用次数: 0

摘要

骨样骨瘤是一种罕见的良性成骨细胞肿瘤,主要发生在下肢长骨关节外节段。肘部是发生骨样骨瘤的特殊部位。诊断通常延迟,因为肘部是这种肿瘤的罕见部位,非特异性临床症状,如单关节炎,可能模仿其他更常见的情况。我们报告的情况下,一个16岁的女孩谁提出慢性单关节炎的肘部被错误地治疗为结核性关节炎和单关节类风湿受累。化验结果呈阴性计算机断层扫描和磁共振成像显示尺骨冠突病灶病灶伴轻度滑膜炎。直到病情进展了18个月,肘部已经僵硬,才做出骨样骨瘤的诊断。经关节镜切除病变,病灶组织病理学符合骨样骨瘤。从那时起,患者肘部活动范围得到改善,不再疼痛。
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Monoarthritis of the Elbow Revealing Osteoid Osteoma: A Case Report and Literature Review
Osteoid osteoma is a rare benign osteoblastic tumor that mainly occurs in the extra-articular segments of lower limb long bones. The elbow is an exceptional location for osteoid osteoma. The diagnosis is usually delayed since the elbow is a rare site for this tumor and unspecific clinical signs, such monoarthritis, may mimic other more common conditions. We report the case of a 16-year-old girl who presented with chronic monoarthritis of the elbow which was treated falsely as tuberculous arthritis and monoarticular rheumatoid involvement. The laboratory tests were negative. Computed tomography scan and magnetic resonance imaging showed the focal nidus at the coronoid process of the ulna with mild synovitis. The diagnosis of osteoid osteoma was not made until the disease had been progressing for eighteen months and the elbow had already become stiff. Arthroscopic excision of the lesion was performed, and histopathology of the nidus was consistent with osteoid osteoma. Since then, the patient has been pain-free with an improved elbow range of motion.
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