PDF(Pubmed)
Abstract：
BACKGROUND: Osteopoikilosis or osteopathia condensans disseminata is a rare hereditary autosomal dominant sclerosing bone dysplasia. Patients are usually asymptomatic and the diagnosis is usually made incidentally on radiographs which show presence of symmetric, multiple, well defined, small ovoid areas of increased radiodensity clustered in peri-articular osseous regions with propensity for epiphyseal and metaphyseal involvement. There are no increased risks of pathological fracture in a case of osteopoikilosis and traumatic fracture healing in a case of osteopoikilosis is similar to fracture occurring in other normal patients.
METHODS: A 34 years male, electrician came with history of accidental fall from height while working in office leading to development of pain and swelling over left lower leg and ankle diagnosed with Ruedi-Allgower classification type I pilon fracture(without fibula fracture) no distal neuro-vascular deficit. Patient was offered surgical treatment in form of open reduction and internal fixation of tibial fracture by plate osteosynthesis using antero-medial approach, showed complete union and was followed up for eight months.
CONCLUSIONS: Osteopoikilosis has a benign course and it should always be kept as a possible differential diagnosis for osteoblastic metastasis to avoid diagnositic dilemma. Diagnosis can be settled by routine x-rays (for type, extent and site of lesions, bones affected), clinical features of patient, histopathology and other systemic or pre-existing conditions.
METHODS: A 34 years male, electrician came with history of accidental fall from height while working in office leading to development of pain and swelling over left lower leg and ankle diagnosed with Ruedi-Allgower classification type I pilon fracture(without fibula fracture) no distal neuro-vascular deficit. Patient was offered surgical treatment in form of open reduction and internal fixation of tibial fracture by plate osteosynthesis using antero-medial approach, showed complete union and was followed up for eight months.
CONCLUSIONS: Osteopoikilosis has a benign course and it should always be kept as a possible differential diagnosis for osteoblastic metastasis to avoid diagnositic dilemma. Diagnosis can be settled by routine x-rays (for type, extent and site of lesions, bones affected), clinical features of patient, histopathology and other systemic or pre-existing conditions.
摘要：
背景：骨质疏松或凝透性骨病是一种罕见的遗传性常染色体显性硬化性骨发育不良。患者通常无症状，诊断通常是在X线片上偶然发现的，多个,定义明确,放射密度增加的小卵形区域聚集在关节周围骨区，倾向于骨和干phy端受累。在骨质疏松的情况下，病理性骨折的风险没有增加，在骨质疏松的情况下，创伤性骨折愈合与其他正常患者发生的骨折相似。
方法：34岁男性，电工有在办公室工作时意外从高处跌落的病史，导致左小腿和踝关节疼痛和肿胀的发展，诊断为Ruedi-Allgower分类I型pilon骨折（无腓骨骨折），无远端神经血管缺损。患者采用前内侧入路通过钢板接骨术以胫骨骨折的切开复位和内固定的形式进行手术治疗，表现出完全的结合，并随访了八个月。
结论：骨质疏松具有良性病程，应始终将其作为成骨细胞转移的可能鉴别诊断，以避免诊断困境。诊断可以通过常规X射线来解决（对于类型，病变的范围和部位，骨骼受影响)，患者的临床特征，组织病理学和其他系统或预先存在的条件。
方法：34岁男性，电工有在办公室工作时意外从高处跌落的病史，导致左小腿和踝关节疼痛和肿胀的发展，诊断为Ruedi-Allgower分类I型pilon骨折（无腓骨骨折），无远端神经血管缺损。患者采用前内侧入路通过钢板接骨术以胫骨骨折的切开复位和内固定的形式进行手术治疗，表现出完全的结合，并随访了八个月。
结论：骨质疏松具有良性病程，应始终将其作为成骨细胞转移的可能鉴别诊断，以避免诊断困境。诊断可以通过常规X射线来解决（对于类型，病变的范围和部位，骨骼受影响)，患者的临床特征，组织病理学和其他系统或预先存在的条件。
