肘关节骨样骨瘤的临床特点及误诊分析

Clinical characteristics and misdiagnosis analysis of osteoid osteoma of elbow joint

目的为总结肘关节骨样骨瘤的特点,分析误诊的常见因素。方法云自2018年1月至2023年6月,我们共收治4例肘关节骨样骨瘤患者,回顾性分析其临床表现、辅助检查资料及既往就诊经历,归纳总结肘关节骨样骨瘤的临床特点,分析可能导致误诊的因素。结果4例患者术后肘关节疼痛缓解显著,切口均1期愈合,病理结果为骨样骨瘤。4例患者术后随访时间为9~25个月,平均13个月,骨样骨瘤无复发,受累肘关节无疼痛、肿胀等不适,肘关节活动较术前显著改善,根据中华医学会手外科学会上肢部分功能评定试用标准评定均为优。结论肘关节骨样骨瘤病例罕见,临床症状的不典型、影像学表现多样及就医经历复杂是导致误诊的三个主要因素。

ObjectiveTo summarize the characteristics of osteoid osteoma of the elbow joint and analyze the common factors for misdiagnosis.Methods From January 2018 to June 2023,a total of 4 patients with osteoid osteoma of the elbow joint were treated.Their clinical manifestations,auxiliary examination data,and previous medical experiences were retrospectively analyzed,the clinical characteristics of osteoid osteoma of the elbow joint were summarized,and the factors that may lead to misdiagnosis were analyzed.Results Four patients experienced significant relief of elbow joint pain after surgery,and all incisions achieved primary healing.The pathological result was osteoid osteoma.The postoperative follow-up time of 4 patients was 9 to 25 months,with an average of 13 months.There was no recurrence of osteoid osteoma,and there was no pain,swelling,or other discomfort in the affected elbow joint.Elbow joint activity significantly improved compared to preoperative.According to the evaluation criteria of the Chinese Society of Hand Surgery for upper limb function,all patients were rated as excellent.Conclusion Cases of osteoid osteoma of the elbow joint are rare,and atypical clinical symptoms,diverse imaging manifestations,and complex medical experiences are the three main factors leading to misdiagnosis.