病例摘要男,66岁,农民,病志号4306,X光片号2534。三年来无明显诱因发现右删大腿根部疼痛,活动时加剧,同时发现局部肿胀凸起,自觉关节内有肿物卡住感,近一年来影响活动,不能充分下蹲。检查:发育正常,营养中等,心肺均未见异常,其他四肢骨关节未见明显异常。右侧髋关节前内方明显凸起,触之为一坚硬之肿物,似骨样硬,大小约6×5×3厘米,表面不光滑,境界清楚,基底部不移动。髋关节前屈受限,仅达80°内收,外展不充分。X光所见:髋关节之前内方,相当股骨颈之内侧,于右侧耻 Case Summary Male, 66 years old, farmer, disease 4306, radiograph 2534. Three years no obvious incentive to find the right to delete the thigh root pain, aggravating activities, while found that local swelling bulge, conscious joints have a sense of mass stuck in the past year to affect activity, can not fully squat. Check: normal development, moderate nutrition, heart and lung were no abnormalities, other limbs and joints no obvious abnormalities. In front of the right side of the hip obvious bulge, touch as a hard tumor, like bone-like hard, the size of about 6 × 5 × 3 cm, the surface is not smooth, the state clearly, the base does not move. Limited hip flexion, only up to 80 ° adduction, abduction is not sufficient. X-ray findings: the hip before the inside, rather inside the femoral neck, on the right shame