Surgery for fibrous dysplasia associated with aneurysmal-bone-cystlike changes in right proximal femur:A case report  

作　　者：Lun-Li Xie Xiao Yuan Hong-Xia Zhu Dan Pu 

机构地区：[1]Department of Joint and Hand Orthopedics,Hunan University of Medicine General Hospital,Huaihua 418000,Hunan Province,China [2]Department of Joint and Hand Surgery,Hunan University of Medicine General Hospital,Huaihua 418000,Hunan Province,China [3]Department of Traumatic Orthopedics,Hunan University of Medicine General Hospital,Huaihua 418000,Hunan Province,China [4]Department of Orthopedics,Hunan University of Medicine General Hospital,Huaihua 418000,Hunan Province,China

出　　处：《World Journal of Clinical Cases》2023年第26期6170-6175,共6页世界临床病例杂志

基　　金：The Scientific Program of the Health and Family Planning Commission of Hunan Province,China,No.C20190940;The Science and Technology Planning Project of Huaihua,China,NO.2021R3117。

摘　　要：BACKGROUND Fibrous dysplasia associated with aneurysmal bone cyst(ABC)-like changes in the right proximal femur has a low incidence.It is considered more difficult to make early diagnosis than for single fibrous dysplasia.CASE SUMMARY A 14-year-old woman was admitted because of persistent pain in the right hip and abnormal gait over the previous 2 mo.She had no history of present or past illness.Preoperative photography,enhanced computed tomography,and magnetic resonance imaging showed ground-glass appearance with cortical scalloping and expansion of the right proximal femur and femoral neck.Pathological examination by preoperative puncture biopsy revealed fibrous dysplasia of the right proximal femur.The patient was diagnosed with fibrous dysplasia based on medical history,physical examination,and results of laboratory,imaging and pathological examinations.According to final pathological examination,the patient was diagnosed with fibrous dysplasia of the right proximal femur associated with ABC.Curettage and allograft along with fixation of compression screws was performed for fibrous dysplasia associated with ABClike changes.No obvious allograft absorption,loosening of fixation,or secondary fracture were observed during 6-months’follow-up with re-examination by plain radiography and computed tomography.Fibrous dysplasia associated with ABClike changes in the right proximal femur has a low incidence and early diagnosis is considered more difficult than for single fibrous dysplasia.CONCLUSION We report a cases of fibrous dysplasia associated with ABC-like changes in the right proximal femur treated with curettage and allograft along with hip compression screws.

关 键 词：Fibrous dysplasia Aneurysmal bone cyst CURETTAGE ALLOGRAFT Hip compression screws Case report 

分 类 号：R782.2[医药卫生—口腔医学] R783.5[医药卫生—临床医学]