ANEURYSMAL BONE-CYSTS IN CHILDHOOD

被引：0

作者：

COTTALORDA, J ^{[1
]}

BOLLINI, G ^{[1
]}

PANUEL, M ^{[1
]}

SCHEINER, C ^{[1
]}

JOUVE, JL ^{[1
]}

LABRIET, C ^{[1
]}

BOUYALA, JM ^{[1
]}

机构：

[1] HOP ENFANTS LA TIMONE,SERV CHIRURG ORTHOPED INFANTILE,BD JEAN MOULIN,F-13385 MARSEILLE 5,FRANCE

来源：

REVUE DE CHIRURGIE ORTHOPEDIQUE ET REPARATRICE DE L APPAREIL MOTEUR | 1993年 / 79卷 / 04期

关键词：

D O I：

暂无

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The authors have analysed a series of aneurysmal bone cysts (A.B.C.) in children and adolescents which were reviewed at an average follow-up of 4 years 2 months (6 months - 15 years). The average age at diagnosis was 8 years (3 - 19 years). Pathological fractures were the main reason for consultation, probably due to the predominance of central lesions. If conventional radiology remains indispensable to diagnosis, magnetic resonance imaging is nevertheless the most important examination in determining the extent of the affection. The diagnosis remains anatomopathological, even if this may be difficult due to associated lesions (A.B.C. illness and A.B.C. symptoms). In long bones lesions, we observed recurrence after curettage in 3 out of 7 cases. For this reason the recommend simple resection or reconstructive resection rather than curettage whenever possible. 5 lesions in contact with growth plate were observed. In such cases we recommend its conservation by careful curettage, especially in young children. We feel that subsequent recurrence is easier to treat than an epiphysiodesis bridge. The surgical techniques employed to conserve the plate are described along with methods of bone reconstruction after surgery.

引用

页码：272 / 280

页数：9