Post-traumatic Postoperative Osteolysis: an Under-recognised Cause of Recrudescence of Osteolysis in Quiescent Osteoblastic Pagetic Bone
WK Tsang, MK Yuen
Hong Kong J Radiol 2015;18:41-5
DOI: 10.12809/hkjr1414260
Post-traumatic postoperative osteolysis is a rare cause of recrudescence of osteolysis in previously quiescent sclerotic pagetic bone. This condition can develop rapidly following trauma and operation, and mimic sinister causes like malignancy. Awareness of this rare disease entity can help in prompt diagnosis and treatment for reversal of osteolysis. Here we report on a middle-aged man who developed post-traumatic postoperative osteolysis over the pagetic humerus after internal fixation for pathological fracture. To the best of our knowledge, this is the first reported case for this condition to occur in the humerus.
中文摘要
創傷後術後的骨質溶解：於已靜止骨質硬化的變形性骨炎，骨質溶解重現的一個罕見病因
曾慧勤、袁銘強
創傷後術後的骨質溶解是已靜止骨質硬化的變形性骨炎骨質溶解重現的一個罕見病因。病症可於創傷及術後迅速發展，易被混淆為一些如癌症等更嚴重的病因。認識此罕有病症有助及時診斷並讓病人接受逆轉骨溶解的治療。本文報告一名中年男性因肱骨變形性骨炎導致病理性骨折，於接受內固定手術後出現創傷後術後骨質溶解。據我們所知，這是首宗發生在肱骨的類似病例。