PDF(Pubmed)
Abstract：
BACKGROUND: Aneurysmal bone cyst (ABC) is a rare primary or secondary tumor that usually occurs in young women aged between 10 and 20 years, mostly in the long tubular bone and spine. However, there are no definite standards for its clinical treatment. To our knowledge, this is the first report of a young female patient with distal radius ABC who was successfully treated with tumor resection and autogenous fibular head transplantation.
METHODS: A 28-year-old married Chinese young woman presented to our hospital with swelling and pain in her right wrist for 2 years and aggravation of wrist movement restriction for 1 week.
METHODS: Pathological biopsy confirmed ABC.
METHODS: We performed a pathological examination of the tumor on the right wrist and preliminarily confirmed the diagnosis of ABC. The right wrist joint was reconstructed by total surgical resection of the ABC tumor in the right wrist joint and autogenous fibular head transplantation.
RESULTS: During follow-up within 7 years, good right wrist function was confirmed. The tumor did not recur, the swelling of the right wrist disappeared, the joint pain and limitation of movement significantly improved, and the function of the right wrist was not impaired in daily activities. Radiography showed that the fracture had healed.
CONCLUSIONS: Our results suggest that autofibular head transplantation is an effective treatment for reconstruction of wrist function in adult patients with ABC of the distal radius.
METHODS: A 28-year-old married Chinese young woman presented to our hospital with swelling and pain in her right wrist for 2 years and aggravation of wrist movement restriction for 1 week.
METHODS: Pathological biopsy confirmed ABC.
METHODS: We performed a pathological examination of the tumor on the right wrist and preliminarily confirmed the diagnosis of ABC. The right wrist joint was reconstructed by total surgical resection of the ABC tumor in the right wrist joint and autogenous fibular head transplantation.
RESULTS: During follow-up within 7 years, good right wrist function was confirmed. The tumor did not recur, the swelling of the right wrist disappeared, the joint pain and limitation of movement significantly improved, and the function of the right wrist was not impaired in daily activities. Radiography showed that the fracture had healed.
CONCLUSIONS: Our results suggest that autofibular head transplantation is an effective treatment for reconstruction of wrist function in adult patients with ABC of the distal radius.
摘要：
背景：动脉瘤性骨囊肿（ABC）是一种罕见的原发性或继发性肿瘤，通常发生在10至20岁之间的年轻女性中，主要在长管状骨和脊柱。然而,它的临床治疗没有明确的标准。据我们所知,这是一例年轻女性桡骨远端ABC患者首次报道,该患者通过肿瘤切除和自体腓骨头移植成功治疗.
方法：一名28岁已婚中国女青年到我院就诊，右手腕肿胀疼痛2年，手腕活动受限加重1周。
方法：病理活检证实ABC。
方法：我们对右腕部肿瘤进行了病理检查，初步证实了ABC的诊断。通过在右腕关节中完全手术切除ABC肿瘤并自体腓骨头移植重建右腕关节。
结果：在7年内的随访中，确认右手腕功能良好。肿瘤没有复发,右手腕的肿胀消失了,关节疼痛和运动受限明显改善，右手腕的功能在日常活动中没有受损。射线照相显示骨折已愈合。
结论：我们的结果表明，自体腓骨头移植是重建桡骨远端ABC成年患者腕关节功能的有效治疗方法。
方法：一名28岁已婚中国女青年到我院就诊，右手腕肿胀疼痛2年，手腕活动受限加重1周。
方法：病理活检证实ABC。
方法：我们对右腕部肿瘤进行了病理检查，初步证实了ABC的诊断。通过在右腕关节中完全手术切除ABC肿瘤并自体腓骨头移植重建右腕关节。
结果：在7年内的随访中，确认右手腕功能良好。肿瘤没有复发,右手腕的肿胀消失了,关节疼痛和运动受限明显改善，右手腕的功能在日常活动中没有受损。射线照相显示骨折已愈合。
结论：我们的结果表明，自体腓骨头移植是重建桡骨远端ABC成年患者腕关节功能的有效治疗方法。
