PDF(Pubmed)
Abstract：
UNASSIGNED: Non-ossifying fibroma (NOF) is a common benign fibrogenic bone lesion commonly found in the metaphysis of long bones. While small NOFs are typically asymptomatic and left untreated, large NOFs are often associated with pathologic fractures that can be treated conservatively or operatively. To our knowledge, the NOF presented in this case report is one of the largest reported in the literature.
UNASSIGNED: We present a case of a 12-year-old Hispanic female who presented to our institution after falling off a horse and landing on her right leg and wrist. Radiographs revealed a right distal femur fracture through an unusually large lytic bone lesion. The patient was treated with curettage, grafting, open reduction, and internal fixation, given the unstable and pathological nature of the fracture.
UNASSIGNED: This case substantiates the literature that large fractures through a NOF can be appropriately managed operatively. However, orthopedic surgeons should be aware of the risks of surgery, including infection, when considering operative management of patients who present with large unstable pathologic fractures through a NOF.
UNASSIGNED: We present a case of a 12-year-old Hispanic female who presented to our institution after falling off a horse and landing on her right leg and wrist. Radiographs revealed a right distal femur fracture through an unusually large lytic bone lesion. The patient was treated with curettage, grafting, open reduction, and internal fixation, given the unstable and pathological nature of the fracture.
UNASSIGNED: This case substantiates the literature that large fractures through a NOF can be appropriately managed operatively. However, orthopedic surgeons should be aware of the risks of surgery, including infection, when considering operative management of patients who present with large unstable pathologic fractures through a NOF.
摘要：
■非骨化性纤维瘤（NOF）是一种常见的良性纤维源性骨病变，常见于长骨干meta端。虽然小型NOF通常无症状且未治疗，大NOFs常伴有病理性骨折,可保守或手术治疗.据我们所知,本病例报告中提供的NOF是文献中最大的报告之一。
■我们介绍了一个12岁的西班牙裔女性，她从马上摔下来，右腿和手腕上落地后来到我们的机构。放射学照片显示右股骨远端骨折，原因是异常大的溶解性骨病变。病人接受了刮宫治疗,嫁接,开放还原，和内固定,考虑到骨折的不稳定和病理性质。
■该病例证实了通过NOF的大骨折可以通过手术进行适当处理的文献。然而,骨科医生应该意识到手术的风险，包括感染,当考虑对通过NOF出现大型不稳定病理性骨折的患者进行手术治疗时。
■我们介绍了一个12岁的西班牙裔女性，她从马上摔下来，右腿和手腕上落地后来到我们的机构。放射学照片显示右股骨远端骨折，原因是异常大的溶解性骨病变。病人接受了刮宫治疗,嫁接,开放还原，和内固定,考虑到骨折的不稳定和病理性质。
■该病例证实了通过NOF的大骨折可以通过手术进行适当处理的文献。然而,骨科医生应该意识到手术的风险，包括感染,当考虑对通过NOF出现大型不稳定病理性骨折的患者进行手术治疗时。
