双侧股骨颈对称性骨内腱鞘囊肿一例报告

Intraosseous ganglion of the bilateral femoral neck: 1 case report

骨内腱鞘囊肿又称邻关节骨囊肿,是邻关节软骨下的良性囊肿,为纤维组织构成的多房性病变伴广泛的黏液样变[1-2]。2015年5月,我院经治1例6岁双侧股骨颈对称性多发性骨内腱鞘囊肿病例,现报告如下。临床资料患者,男,6岁,因左髋疼痛1个月余入院。患者1个多月前,无明显诱因出现间断性左髋疼痛,无外伤史,局部无红肿,夜间及行走后疼痛加重。专科查体：双下肢等长,双臀部不对称,双髋无红肿,

Objective To report 1 case of intraosseous ganglion of the bilateral femoral neck. Methods We conducted history inquiry in detail, comprehensive imaging examination and postoperative pathological detection. Results Left hip pain had lasted for more than 1 month without any inducement, injury or local swelling. Pain aggravated in the night and after the walking. Clinical examination： both lower limbs were of identical length without any swelling, except for a little tenderness and gaenslen（ ＋） of the left hip. X-ray： bilateral femoral neck showed cystic photic zone. CT： the partial low-density shadow could be seen from the anterior portion of the bilateral femoral neck. MRl： anterior portion of the bilateral femoral neck showed heterogeneous signals. Multiple nodular with long T1 and T2 signals, shorter T1 and longer T2 signals could be seen around. Surgical findings： a few wormy holes distributed in the bilateral femoral neck with translucent gelatinous materials and granulation tissues in it. Pathological examination showed visible fibrous capsule in the osseous tissues. Conclusions Combined with patient＇s clinical manifestations, pathological results and imaging features, a etiologic diagnosis of the intraosseous ganglion can be achieved.