PDF(Pubmed)
Abstract：
UNASSIGNED: Proximal femoral osteoid osteoma (OO) is extremely easy to be misdiagnosed or missed. The purpose of this study was to retrospectively analyze the clinical data of patients with proximal femoral OO in order to determine the clinical manifestation and imaging characteristics of the disease, so as to provide help for the preoperative diagnosis and clinical treatment of proximal femoral OO.
UNASSIGNED: This was a retrospective study involving 35 patients with proximal femoral OO admitted into our hospital from January 2015 to January 2021. The baseline characteristics of the participants included; 24 males and 11 females, aged between 13 and 25 (mean 16.2) years old, and the course of the disease was 1 to 14 (mean 6.3) months. We used previous medical experience records of the patients to analyze for the causes of misdiagnosis. Moreover, we compared the difference between preoperative and postoperative treatment practices in alleviating pain in OO patients and restoring hip function. Follow-ups were carried out regularly, and patients advised to avoid strenuous exercises for 3 months.
UNASSIGNED: We followed up 35 patients (25 intercortical, 4 sub-periosteal, and 6 medullary) for an average of 41.4 months. We found that 15 patients (42.9%) had been misdiagnosed of synovitis, perthes disease, osteomyelitis, intra-articular infection, joint tuberculosis and hip impingement syndrome, whose average time from symptoms to diagnosis were 6.3 months. Postoperative pain score and joint function score improved significantly compared with preoperative, and complications were rare.
UNASSIGNED: Open surgical resection constitutes an effective treatment for proximal femoral OO by accurately and completely removing the nidus. Wrong choice of examination, and the complexity and diversity of clinical manifestations constitutes the main reasons for the misdiagnosis of proximal femoral OO.
UNASSIGNED: This was a retrospective study involving 35 patients with proximal femoral OO admitted into our hospital from January 2015 to January 2021. The baseline characteristics of the participants included; 24 males and 11 females, aged between 13 and 25 (mean 16.2) years old, and the course of the disease was 1 to 14 (mean 6.3) months. We used previous medical experience records of the patients to analyze for the causes of misdiagnosis. Moreover, we compared the difference between preoperative and postoperative treatment practices in alleviating pain in OO patients and restoring hip function. Follow-ups were carried out regularly, and patients advised to avoid strenuous exercises for 3 months.
UNASSIGNED: We followed up 35 patients (25 intercortical, 4 sub-periosteal, and 6 medullary) for an average of 41.4 months. We found that 15 patients (42.9%) had been misdiagnosed of synovitis, perthes disease, osteomyelitis, intra-articular infection, joint tuberculosis and hip impingement syndrome, whose average time from symptoms to diagnosis were 6.3 months. Postoperative pain score and joint function score improved significantly compared with preoperative, and complications were rare.
UNASSIGNED: Open surgical resection constitutes an effective treatment for proximal femoral OO by accurately and completely removing the nidus. Wrong choice of examination, and the complexity and diversity of clinical manifestations constitutes the main reasons for the misdiagnosis of proximal femoral OO.
摘要：
■股骨近端骨样骨瘤（OO）极易误诊或漏诊。目的回顾性分析股骨近端OO患者的临床资料,以确定该病的临床表现和影像学特点,从而为股骨近端OO的术前诊断和临床治疗提供帮助。
这是一项回顾性研究，涉及2015年1月至2021年1月我院收治的35例股骨近端OO患者。参与者的基线特征包括：24名男性和11名女性，年龄在13至25岁之间（平均16.2岁），病程1～14(平均6.3个月)。我们使用患者以前的医疗经验记录来分析误诊的原因。此外，我们比较了术前和术后治疗方法在减轻OO患者疼痛和恢复髋关节功能方面的差异。定期跟进,建议患者避免剧烈运动3个月。
■我们随访了35例患者（25例皮层间，4骨膜下，和6髓质）平均41.4个月。我们发现15例患者(42.9%)被误诊为滑膜炎,Perthes病,骨髓炎,关节内感染,关节结核和髋关节撞击综合征，从症状到诊断的平均时间为6.3个月。术后疼痛评分及关节功能评分较术前明显改善,并发症很少见。
■开放式手术切除通过准确而完全地去除病灶，构成了对股骨近端OO的有效治疗方法。考试选择错误，临床表现的复杂性和多样性构成了股骨近端OO误诊的主要原因。
这是一项回顾性研究，涉及2015年1月至2021年1月我院收治的35例股骨近端OO患者。参与者的基线特征包括：24名男性和11名女性，年龄在13至25岁之间（平均16.2岁），病程1～14(平均6.3个月)。我们使用患者以前的医疗经验记录来分析误诊的原因。此外，我们比较了术前和术后治疗方法在减轻OO患者疼痛和恢复髋关节功能方面的差异。定期跟进,建议患者避免剧烈运动3个月。
■我们随访了35例患者（25例皮层间，4骨膜下，和6髓质）平均41.4个月。我们发现15例患者(42.9%)被误诊为滑膜炎,Perthes病,骨髓炎,关节内感染,关节结核和髋关节撞击综合征，从症状到诊断的平均时间为6.3个月。术后疼痛评分及关节功能评分较术前明显改善,并发症很少见。
■开放式手术切除通过准确而完全地去除病灶，构成了对股骨近端OO的有效治疗方法。考试选择错误，临床表现的复杂性和多样性构成了股骨近端OO误诊的主要原因。
