上腕骨孤立性骨嚢腫再発例に対して髄内釘が奏功した一例  [in Japanese] SUCCESSFUL TREATMENT OF A SOLITARY BONE CYST OF THE HUMERUS USING INTRAMEDULLARY NAILS  [in Japanese]

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Abstract

症例は16歳の男性.バレーボール中に右上腕の痛みを自覚.近医受診し,単純X線・MRI施行したところ,右上腕骨孤立性骨嚢腫を指摘され,当科紹介受診となった.掻把・植骨施行するも2年後に再発し,増大傾向となり,疼痛も出現した.根治目的としての再手術方法として,髄内釘を選択した.術後1年で抜釘施行したが,再発なく経過しており,上腕骨孤立性骨嚢腫再発例に対して髄内釘が有効であった.孤立性骨嚢腫は10~20代男性に多い疾患である.治療については,様々な方法が提唱されている.今回われわれは,髄内釘による治療が奏功した一例を経験したので,若干の文献的考察を加えてこれを報告する.

A 16-year-old man presented with pain in his right upper arm while playing volleyball. Simple radiography and magnetic resonance imaging performed on the advice of a local physician revealed a solitary bone cyst of the humerus. He was subsequently referred to our department for treatment. Curettage and bone grafting procedure was performed, but the painful cyst recurred 2 years later, demonstrating a tendency to increase in size. Surgical treatment using intramedullary nails was performed with a curative intent. The nails were surgically removed one year after surgery, and the patient has shown no signs of recurrence since then. Solitary bone cysts are common in men between 10 and 20 years of age, and various methods have been proposed for treatment. In this case report, we describe the effectiveness of intramedullary nails in the treatment of a solitary bone cyst of the humerus and present a review of the relevant literature.

Journal

  • Journal of The Showa University Society

    Journal of The Showa University Society 73(5), 459-462, 2013

    The Showa University Society

Codes

  • NII Article ID (NAID)
    130005056858
  • NII NACSIS-CAT ID (NCID)
    AA12635661
  • Text Lang
    JPN
  • Article Type
    departmental bulletin paper
  • Journal Type
    大学紀要
  • ISSN
    2187-719X
  • NDL Article ID
    025533950
  • NDL Call No.
    Z19-373
  • Data Source
    NDL  IR  J-STAGE 
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