DOI QR코드

DOI QR Code

Symptomatic Benign Intraosseous Osteolytic Lesions of the Glenoid: Report of 3 cases

증상이 있는 관절와의 양성 골내 골용해성 병변: 3예에 대한 증례보고

  • Kim, Young Kyu (Department of Orthopaedic Surgery, Gacheon University, Gil Hospital) ;
  • Cho, Seung Hyun (Department of Orthopaedic Surgery, Gacheon University, Gil Hospital) ;
  • Moon, Sung Hoon (Department of Orthopaedic Surgery, Kangwon National University Hospital)
  • 김영규 (가천대학교 길병원 정형외과학교실) ;
  • 조승현 (가천대학교 길병원 정형외과학교실) ;
  • 문성훈 (강원대학교 정형외과학교실)
  • Received : 2012.11.14
  • Accepted : 2013.06.12
  • Published : 2013.06.30

Abstract

Benign intraosseous osteolytic lesions of the glenoid are very rare. The present study reports on three cases of symptomatic intraosseous osteolytic lesions of the glenoid in which surgical interventions were made. Of the three, two cases presented with intraosseous ganglion and one case with fibrous dysplasia. In all the cases, the lesion was located at the posteroinferior portion of the glenoid, and it seems to be related to posterior shoulder pain. If intraosseous osteolytic lesions have symptoms or the risk for chondral defects or cortical breakage, surgical intervention is needed and bone curettage with or without bone grafting will be a useful treatment option.

관절와 내의 양성 골내 골용해성 병변은 매우 드물다. 저자들은 수술적 치료가 시행되었던 3예의 증상이 있는 양성 골내 골용해성 병변에 대하여 보고하고자 한다. 이 중 2예는 골내 결절종이었으며, 1예는 섬유이형성증으로 진단되었다. 모든 예에서 병변의 위치는 관절와의 후하방이었으며, 이는 견관절의 후방 통증과 연관이 있는 것으로 생각된다. 골내 골용해성 병변이 증상을 보이거나, 연골 결손의 위험 또는 피질골의 파괴의 위험이 있는 경우 치료가 필요하며 골 이식을 동반한 또는 동반하지 않은 단순 골 소파술이 유용한 치료 방법으로 생각된다.

Keywords

References

  1. Cleeman E, Auerbach JD, Springfield DS. Tumors of the shoulder girdle: a review of 194 cases. J Shouler Elbow Surg. 2005;14:460-5. https://doi.org/10.1016/j.jse.2005.02.003
  2. Samilson RL, Morris JM, Thompson RW. Tumors of the scapula. A review of the literature and an analysis of 31 cases. Clin Orthop Relat Res. 1968; 58:105-15.
  3. Schajowicz F, Clavel Sainz M, Slullitel JA. Juxtaarticular bone cysts (intra-osseous ganglia): a clinicopathological study of eighty-eight cases. J Bone Joint Surg Br. 1979;61:107-16.
  4. Williams HJ, Davis AM, Allen G, Evans N, Mangham DC. Imaging features of intraosseous ganglia: a report of 45 cases. Eur Radiol. 2004;14:1761-9.
  5. Urayama M, Itoi E, Watanabe H, Sato K, Kamei J. Intraosseous ganglion of the glenoid. Orthopedics. 1999;22:705-6.
  6. Murata K, Nakagawa Y, Suzuki T, Kobayashi M, Kotani S, Nakamura T. Intraosseous ganglion about to cause a fracture of the glenoid: a case report. Knee Surg Sports Traumatol Arthrosc. 2007; 15:1261-3. https://doi.org/10.1007/s00167-006-0278-4
  7. Tudisco C, Bisicchia S. Intraosseous ganglion with impending fracture of the glenoid. Orthopedics. 2011;34:956-9.
  8. Borys D, Canter R, James MA. Monostotic fibrous dysplasia of the distal phalanx: case report. J Hand Surg Am. 2010;35:1294-6. https://doi.org/10.1016/j.jhsa.2010.04.020
  9. Shih HN, Chen YJ, Huang TJ, Hsu KY, Hsu RW. Treatment of fibrous dysplasia involving the proximal femur. Orthopedics. 1998;21:1263-6.
  10. Stephenson RB, London MD, Hankin FM, Kaufer H. Fibrous dysplasia. An analysis of options for treatment. J Bone Joint Surg Am. 1987;69:400-9.
  11. Moretti VM, Slotcavage RL, Crawford EA, Lackman RD, Ogilvie CM. Curettage and graft alleviates athletic-limiting pain in benign lytic bone lesions. Clin Orthop Relat Res. 2011;469:283-8. https://doi.org/10.1007/s11999-010-1374-9