EPIDEMOLOGICAL, RADIOGRAPHIC AND PROGNOSTIC EVALUATION OF CHONDROBLASTOMA.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220243201e283605

Bernardo Lopes Crisostomo, Julia Pozzetti Daou, Jairo Greco Garcia, Marcelo DE Toledo Petrilli, Dan Carai Maia Viola, Reynaldo Jesus Garcia

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引用次数: 0

Abstract

Objective: To describe the clinical and imaging characteristics of chondroblastoma and identify possible factors related to joint complications.

Method: This retrospective cohort study was carried out with data from the medical records of 23 patients diagnosed with chondroblastoma, subjecting them to statistical analyses.

Result: In total, 19 patients were included, 12 (63.2%) of which were mean with a mean age of 13.6±3.5 year. The relation with the local dimension equaled 57.9%, higher in the apophysis of the greater trochanter: 95.2% (p<0.001). Based on imaging, 15.8% patients had an open physis; 55.6%, no damaged physeal line; 42.1%, cortical rupture; 21.1%, secondary aneurysmal bone cyst; 26.7%, violated cartilage; and all cases, medullary edema. 15.8% of cases showed local recurrence and no metastasis. Moreover, 46.7% of patients had relevant secondary osteoarthritis related to the aggressiveness of the tumor according to the Enneking classification (p= 0.041).

Conclusion: The clinical outcome of chondroblastoma show no relation to age, sex, location, physeal status, or presence of calcifications or secondary aneurysmal bone cyst. Progression to secondary osteoarthritis configured the most frequent non-oncological complication and showed a direct relation with the severity of the chondroblastoma. Level of Evidence IV, Case Series.

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成软骨细胞瘤的流行病学、影像学和预后评价。

目的：探讨成软骨细胞瘤的临床及影像学特征，探讨关节并发症的相关因素。方法：对23例确诊为成软骨细胞瘤患者的病历资料进行回顾性队列研究，并进行统计学分析。结果：共纳入19例患者，其中平均12例（63.2%），平均年龄13.6±3.5岁。结论：成软骨细胞瘤的临床预后与年龄、性别、部位、身体状况、是否有钙化或继发动脉瘤性骨囊肿无关。发展为继发性骨关节炎是最常见的非肿瘤性并发症，并与成软骨细胞瘤的严重程度直接相关。证据等级IV，案例系列。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.