How to treat acroosteolysis?

summary

Osteolysis should be differentiated from malignant tumor, early suppurative osteomyelitis and idiopathic osteolysis with nephropathy. Malignant tumors are usually masses with unclear boundaries, often accompanied by local pain, feeling subsided or disappeared, but osteolysis has no such symptoms. X-ray films of chronic osteomyelitis often show dead bone formation. Most of the lesions are located in the mandibular body and ramus, rarely involving at the same time. The X-ray film of osteolysis showed no dead bone formation, and most of the lesions involved the mandibular body and ramus at the same time. The histopathological features of osteolysis were nonspecific. Under the light microscope, fibrous tissue hyperplasia was seen, bone tissue was dissolved and absorbed, no osteoclasts were found, no bone tissue hyperplasia was found, and enlarged vascular lumen was seen.

How to treat acroosteolysis?

1. A large number of osteophyte hyperplasia: "Osteohyperplasia" commonly known as "spur" or "osteophyte", refers to the abnormal bone hyperplasia on the edge of bone and joint, also known as "osteoarthritis" in clinic. Also known as "degenerative osteoarthritis", "hypertrophic osteoarthritis" is an imaging manifestation of osteoarthritis. It is a secondary lesion following the destruction of articular cartilage. It belongs to the degenerative change of bone, which is caused by "bone aging".

2. Because there is no obvious displacement, it can't cause enough attention. It is generally caused by direct strike, impact, etc. Crack fracture can be treated by plaster fixation or small splint fixation, the wound can heal quickly, and usually does not leave sequelae, the treatment is relatively simple and easy.

3. "Hyperosteogeny", commonly known as "spur" or "osteophyte", refers to the abnormal bone hyperplasia on the edge of bone and joint, also known as "osteoarthritis" in clinic. Also known as "degenerative osteoarthritis", "hypertrophic osteoarthritis" is an imaging manifestation of osteoarthritis, is a secondary lesion after articular cartilage destruction, belongs to the degenerative changes of bone.

matters needing attention

In the diseased part, the bone was absorbed by massive osteolytic bone, the diaphysis became thinner and the cortex became thinner. After absorption of large bone, bone defect appeared and the stump was pointed. There were residual loose atrophic bone, no new bone, no periosteal reaction, no soft tissue mass.