孤独性骨髓瘤对下肢对齐和长度的影响
Hoon Park1, Hyun Woo Kim2, Kun-Bo Park2
1Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine.
Journal of pediatric orthopedics
|January 5, 2024
概括
膝关节附近的孤独性骨髓瘤 (SOs) 通常不会导致下肢明显变形. 然而,儿童的远端股骨SOs可能导致四肢缩短,需要监测四肢长度差异.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 骨发育不良症 骨发育不良症
背景情况:
- 孤独性骨髓瘤 (SO) 是一种常见的良性骨瘤.
- 未经处理的SO对儿科下肢生长的影响尚未得到充分证实.
- 膝盖周围的SOs可能会影响四肢的长度和对齐.
研究的目的:
- 为了评估冠状元对齐和下肢长度在膝盖附近的SO儿童.
- 确定导致这些患者变形发展的因素.
主要方法:
- 对111名小儿科患者膝关节周围的SO进行了回顾性审查.
- 分类为远端股骨 (51名患者) 和近端骨 (60名患者) 组.
- 放射分析包括下肢对齐和长度测量.
主要成果:
- 在受影响的和相反的四肢之间没有观察到显著的冠状元对齐差异.
- 距离大腿骨SOs与大腿骨和整个腿的长度显著缩短有关 (平均差异约2.1毫米).
- 在近端骨SOs患者中没有发现显著的四肢长度差异.
结论:
- 膝盖周围的SOs通常不会导致临床上显著的下肢形.
- 远端股骨SOs,与近端骨病变不同,与四肢缩短有关.
- 骨不成熟的儿童与远端股骨SOs需要监测四肢长度差异.
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