Xu Mengqiu,Gao Zhipeng,Lin Gang,et al.Clinical characteristics and literature review of pediatric calcaneus bone lesion[J].Journal of Clinical Pediatric Surgery,2023,22(04):387-392.[doi:10.3760/cma.j.cn101785-202112049-017]
儿童跟骨骨病变诊治分析
- Title:
- Clinical characteristics and literature review of pediatric calcaneus bone lesion
- Keywords:
- Calcaneus; Bone Diseases; Pathology; Clinical; Diagnostic Imaging; Child
- 摘要:
- 目的 探讨儿童跟骨骨病变的临床表现、病种分布及影像学特点,以提高儿童跟骨骨病变的临床诊治水平。方法 回顾性分析2013年2月至2021年10月南京医科大学附属儿童医院骨科收治的17例跟骨骨病变患儿临床资料,分析和总结儿童跟骨骨病变的临床表现及影像学特点。结果 17例患儿中,男12例,女5例;左侧10例,右侧7例;年龄1岁至13岁1个月,平均年龄8.2岁。首发症状:足跟疼痛14例,足跟包块2例,足跟肿胀1例。15例行X线检查,15例行CT扫描,14例行MRI检查(其中12例同时行CT及MRI检查)。术后病理诊断:慢性骨髓炎5例,纤维结构不良2例,单房性骨囊肿6例,嗜酸性肉芽肿1例,卡波西型血管内皮细胞瘤1例,骨母细胞瘤1例,骨软骨瘤1例。结论 儿童跟骨骨病变临床少见,病变类型多样;多为良性病变,恶性少见;影像学表现各具特征,单纯依靠临床表现和影像学表现诊断较为困难。
- Abstract:
- Objective To explore the disease distribution and imaging features of calcaneus lesions in children.Methods From February 2013 to October 2021,17 pathologically confirmed children with calcaneus bone lesions were reviewed retrospectively along with the relevant literature.Clinical manifestations and imaging features were analyzed.Results There were 12 boys and 5 girls with an average treatment age of 8.2 year (12-157 month).The involved side was left (n=10) and right (n=7).Chief complaints included heel pain (n=14),heel mass (n=2) and swollen heel (n=1).Radiograph (n=15),computed tomography (CT,n=15),magnetic resonance imaging (MRI,n=14) and CT & MRI (n=12) were performed.They were chronic osteomyelitis (n=5),fibrous dysplasia (n=2),simple bone cyst (n=6),eosinophilic granuloma (n=1),kaposiform hemangioendothelioma (n=1),osteoblastoma (n=1) and osteochondroma (n=1).Conclusion Calcaneus bone lesions in children is rare.Great varieties of calcaneus bone lesions exist in children and their imaging features are unique.It is rather difficult to make a definite diagnosis solely on the basis of clinical and imaging features.Most lesions are benign and surgery is a first option.
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备注/Memo
收稿日期:2021-12-28。
通讯作者:林刚,Email:njchlg@126.com