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1患者资料患者,女性,17岁,于2015年8月发现左小腿下段外侧包块,踝关节上方疼痛,钝痛,剧烈活动后疼痛加重,无肢体放射痛,肢体活动不受限。体格检查:左小腿下段外侧可见一包块,大小约为3 cm×2cm,有轻微压痛,质硬,不可活动,与周围组织边界清,局部皮温不高。左小腿正侧位DR片示:“左胫骨骨软骨瘤”(图1);三维CT显示胫骨下段后外侧瘤样病变,腓骨弓形变,腓骨髓腔狭窄,胫侧皮质不规则,腓侧皮质完整(图2)。采用小腿后外侧入路,
1 Patient Information Patients, female, 17 years old, found in August 2015 the lower left leg lateral mass, ankle above the pain, dull pain, severe pain after exercise, no limb radiating pain, physical activity is not limited. Physical examination: the left lower leg can be seen on the outside of a mass, about the size of 3cm × 2cm, a slight tenderness, hard, not moveable, with the surrounding tissue clearance, the local skin temperature is not high. Left lateral DR posterior DR shows: “left tibial osteochondroma” (Figure 1); three-dimensional CT showed lower lateral tibial tumor-like lesions, fibular arch, fibula marrow cavity stenosis, tibial cortex irregular, Philippine Side of the cortex intact (Figure 2). After the calf posterior lateral approach,