肩関節
Online ISSN : 1881-6363
Print ISSN : 0910-4461
ISSN-L : 0910-4461
症例報告
上腕骨外骨腫に対し前方及び腋窩侵入にて切除術を行った1例
山崎 博範落合 信靖見目 智紀國吉 一樹中川 晃一
著者情報
キーワード: 外骨腫, 腋窩侵入, 腋窩神経
ジャーナル 認証あり

2011 年 35 巻 2 号 p. 665-667

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The patient was a 36-year old man who had right humeral exostosis. His chief complaint was right arm pain and numbness in the upper extremity. Although he had conservative therapy with stable condition after he noticed his mass 7 years ago, his tenderness increased after playing golf recently. The mass was an elastic hard, plain boundary, and as big as 6X5cm in the right proximal arm. There was no clear osseous mass in another part. His range of motion in the right shoulder was restricted to 170° lexion and 10° external rotation. X-ray showed osteochondromas with a cartilage cap. The operation was performed using anterior and axillary approach. Axillary nerve was identified, and marking was done. Bone tumors were resected while carefully avoiding the nerve. The pathology showed diagnosis was an osteochondromas. The pre-operative symptoms were resolved after resection of the bone tumors while the pain was improved immediately. At follow-up, the patient's pain had fully resolved. In conclusion, the humeral exostosis was able to be resected safely by using anterior and axillary approach.
著者関連情報
© 2011 日本肩関節学会
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