Gao Zhipeng,Lin Gang,Ju Li.Disease distributions and imaging features of proximal femoral bone lesions in children[J].Journal of Clinical Pediatric Surgery,,21():374-379.[doi:10.3760/cma.j.cn101785-202007016-015]
Disease distributions and imaging features of proximal femoral bone lesions in children
- Abstract:
- ObjectiveTo explore the disease distributions,clinical manifestations and imaging features of proximal femoral bone lesions in children.MethodsFrom February 2012 to May 2020,a total of 82 pathologically confirmed children with proximal femoral bone lesions were reviewed retrospectively.Disease distributions,clinical manifestations and imaging features were analyzed.ResultsThere were 55 boys and 27 girls with an average treatment age of(7.8±3.5)(47 days to 165 months).The lesion was on the left side in 39 cases and on the right side in 43 cases.Chief complaints included hip pain(n=31),limping(n=24),post-traumatic radiographic findings(n=20),hip pain with fever(n=2),refusal of moving lower limbs(n=3),unequal circumferential diameters of both lower limbs(n=1)and painless mass(n=1).Simple bone cyst(n=30),fibrous dysplasia(n=20),chronic osteomyelitis(n=11),osteoidosteoma(n=7),Langerhans cell histiocytosis(n=5),chondroblastoma(n=3),non-ossifying fibroma(n=2),osteochondroma(n=2),enchondroma(n=1)and Kaposiform hemangioendothelioma(n=1)were pathologically diagnosed.ConclusionIt is difficult to make a definite early diagnosis of proximal femoral bone lesions in children.Great varieties of proximal femoral bone lesions exist in children are different from those in adults.Benign and cystic bone lesions are majority.The clinical manifestations generally lack specificity.For unexplained hip pain or limping in children,the pelvic radiography should be performed immediately and the CT/MRI scan are required for a precise diagnosis if necessary,and the pathological examination is essential for making a definite diagnosis.
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收稿日期:2021-12-15;改回日期:。
通讯作者:林刚,Email:njchlg@126.com