文献简介

出版社:Knee Surg Sports Traumatol Arthrosc

作  者:Kamaljeet Banga , Antonella Racano , Olufemi R. Ayeni , Benjamin Deheshi

编  号:10.1007/s00167-014-2985-6

关键字:Femoroacetabular impingement (FAI) | Osteoid osteoma | Hip pain

年  份:2015   点击量:1274

文献摘要 全文翻译

The objective of this article was to emphasize the importance of including less common causes of hip pain in a differential diagnosis, particularly when clinical and radiographic variables are atypical. This article presents the case of a 52-year-old patient with a history of progressive hip pain resulting from the coexistence of both a femoroacetabular impingement (FAI) and an intraarticular osteoid osteoma. The intraarticular osteoid osteoma was initially overlooked due to its unremarkable features on radiographic and resonance imaging. Consequently, the patient was surgically treated for FAI with only partial relief. An osteolytic nidus characteristic of osteoid osteoma was discovered only 1.5 years following surgery. The patient was subsequently treated for osteoid osteoma with anti-inflammatories, after which his pain began to resolve. The patient was completely pain free after 7 months.

        本文旨在强调罕见原因诱发髋关节疼痛的鉴别诊断的重要性,特别是临床和影像学检测表现出非典型性变化时。本文介绍了一例52岁患者,病史为进行性髋关节疼痛,病因是股骨髋臼撞击综合症(FAI)和关节内骨样骨瘤共存。关节内骨样骨瘤最初因X线片和核磁共振图像未见明显异常而被忽视。因此,患者接受手术治疗FAI,仅缓解了部分疼痛。术后1.5年,患者出现骨样骨瘤的溶骨性病灶特征。患者随后服用抗炎药治疗骨样骨瘤,之后疼痛开始得到缓解。7个月后,患者疼痛完全治愈。