摘要
有 subtrochanteric 的一个 34 岁的人对左腿节的侧面的外皮局部性的骨样的骨瘤被报导。侧面的大腿和膝的温和自发的疼痛地介绍的病人。他拒绝了 X 光线照相术的考试并且被当作更大的 trochanteric 疼痛症候群 9 个月。他然后从承受高度在下降以后与左腿节的颈的 transcervical 破裂被招收。破裂与 3 个 cannulated 螺丝钉被修理并且太平无事地愈合了。他的症状在第一手术后的年以后变得更坏。十八个月手术后地疼痛是迟钝的,在夜里变得更坏,并且仅仅与反煽动性的药减轻了,并且他有一软弱。新拍和断层照片侧面的 subtrochanteric 是指示的有 subperiosteal 本地化的骨样的骨瘤。损害包括巢与一根反应骨头的外科的切除成功地被对待。
A 34-year-old man with a subtrochanteric osteoid osteoma localized to the lateral cortex of the left femur is reported. The patient presented with mild spontaneous pain of the lateral thigh and knee. He refused a radiographic examination and was treated as a greater trochanteric pa in syndrome for 9 months. He was then admitted with a transcervical fracture of the neck of the left femur after a fall from standing height. The fracture was fixed with 3 cannulated screws and healed uneventfully. His symptoms worsened after the first postoperative year. Eighteen months postoperatively the pain was dull, worsening at night, and relieved only with anti-inflammatory drugs, and he had a limp. New radiographs and tomograms were indicative of a lateral subtrochanteric osteoid osteoma with a subperiosteal localization. The lesion was treated successfully with surgical excision of a piece of reactive bone including the nidus.