Benign bone tumours of tibial tuberosity clinically mimicking Osgood-Schlatter disease: a case series

التفاصيل البيبلوغرافية
العنوان: Benign bone tumours of tibial tuberosity clinically mimicking Osgood-Schlatter disease: a case series
المؤلفون: Alireza Mirzaei, Azra Izanloo, Khodamorad Jamshidi, Masoud Mirkazemi
المصدر: International Orthopaedics. 43:2563-2568
بيانات النشر: Springer Science and Business Media LLC, 2019.
سنة النشر: 2019
مصطلحات موضوعية: Male, Osteochondroma, medicine.medical_specialty, Adolescent, Knee Joint, Radiography, Pain, Bone Neoplasms, Diagnosis, Differential, Lesion, 03 medical and health sciences, 0302 clinical medicine, Humans, Osteochondrosis, Medicine, Orthopedics and Sports Medicine, Medical history, Femur, Child, 030203 arthritis & rheumatology, Bone Diseases, Developmental, 030222 orthopedics, Tibia, business.industry, Periosteal Chondroma, medicine.disease, Orthopedic surgery, Female, Surgery, Radiology, Presentation (obstetrics), medicine.symptom, Differential diagnosis, business, Chondroma
الوصف: Introduction Osgood-Schlatter disease (OSD) is a traction apophysitis of the tibial tubercle and a common cause of anterior knee pain in growing adolescents. A variety of benign neoplasms can also cause bony prominence over the tibial tubercle in adolescents that might clinically imitate OSD. Therefore, the differential diagnosis of tumours mimicking OSD is critical and considered the primary goal of this study. Methods Eleven patients who were referred to our orthopaedic oncology department with clinical suspicions of OSD and obscure radiographic presentation were identified. The final diagnosis was OSD in three cases. The demographic, clinical, and radiologic characteristics of the remaining eight patients in whom a tumour mimicked OSD were evaluated. The diagnosis was confirmed by pathologic examination. Results The final diagnosis was periosteal chondroma in four cases, osteochondroma in three cases, and dysplasia epiphysealis hemimelica (DEH) in one case. The average age of the patients was 10.5 ± 3.1 years. In the majority of patients (62.5%), the lesion was painless. The mean size of the bump was 6.5 ± 1.2 cm2. In patients with a painful knee, the pain was constant and activity-independent. At history taking, the pain and bump size were progressive. Conclusion Lack of pain, progressive pain and bump, activity-independent pain, a bump size larger than 5 cm2 at presentation, and age fewer than ten years could be considered in favour of tumours and against OSD.
تدمد: 1432-5195
0341-2695
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::97a9e5e7a01cc891b32b0f0871407982Test
https://doi.org/10.1007/s00264-019-04397-9Test
حقوق: CLOSED
رقم الانضمام: edsair.doi.dedup.....97a9e5e7a01cc891b32b0f0871407982
قاعدة البيانات: OpenAIRE