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靠近骨的血管性瘤与病理性骨折相关 - 一个罕见的实体 - 一个案例报告

Kishore Ragavendra Rajesh¹, J K Giriraj Harshavardhan¹, Sundar Suriyakumar¹

¹Department of Orthopedic Surgery, Sri Ramachandra medical college and research institute, Porur, Chennai- 600116, India, Department of Pathology, Sri Ramachandra medical college and research institute, Porur, Chennai- 600116, India, Department of Radiology, Sri Ramachandra medical college and research institute, Porur, Chennai- 600116, India.

Journal of orthopaedic case reports

|August 19, 2024

概括

在骨中的血管亡 (AVN).

科学领域:

整形外科手术整形外科手术
骨病理学骨病理学骨病理学
放射学放射学是一门学科.

背景情况:

血管性亡 (AVN) 通常会影响关节骨,但关节的参与很少见.
甲状腺和隔膜心脏病发作通常无症状,导致偶然诊断.
死骨中的恶性转变是极其罕见的,但已有记录.

研究的目的:

报告一个极为罕见的病理性骨折的近接骨轴由无血管缩 (AVN) 引起的情况.
为了说明隔膜AVN呈现为骨折的诊断和管理方法.
强调对潜在恶性变化的随访的重要性.

主要方法:

一名56岁的女性患者出现了右腿疼痛和无法承受体重的情况.
放射检查显示了骨轴的横断骨折.
磁共振成像 (MRI) 证实了AVN的特征.
进行了核心活检以排除恶性瘤.
骨折固定是通过内内锁钉实现的.

主要成果:

患者的骨骨折是AVN的次要原因,在术后6个月内完全愈合.
只有手术稳定,没有增强,导致成功的骨折愈合.
临床,病理和放射学结果在随访时是有利的.

结论:

隔膜骨的血管性亡 (AVN),虽然很少见,但可以表现为病理性骨折.
骨折愈合是可以通过适当的固定来实现的,正如在本案中所示.
长期监测患者至关重要,以检测AVN病变中瘤变化的罕见可能性.

关键词:

一个血管亡.核心-针活检活检影像成像技术影像成像技术病理性骨折病理性骨折是一种病理性骨折.靠近的小腿骨无血管缩.

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