• 作者：F. Abat^a ; ^{fabat@santpau.cat} ; C. Á ; lvarez^a ; L. Trullols^a ; A. Peir&#243 ; ^a ; S. Bagué ; ^b ; I. Gracia^a
• 关键词：Elastofibroma dorsi ; Escá ; pula ; Tratamiento ; Diagnó ; stico
• 刊名：Revista Espa帽ola de Cirug铆a Ortop茅dica y Traumatolog铆a
• 出版年：2012
• 期刊代码：pca311_18884415
• 类别：med
• 出版时间：July-August, 2012
• 卷：56
• 期：4
• 页码：295-299
• 文件大小：882 K

Background

Elastofibroma dorsi (ED) is an infrequent benign, slow growing, soft tissue tumour that is usually located in the scapular zone.

Material and methods

A series of 37 ED patients diagnosed and treated in our hospital between August 1993 and November 2009 were retrospectively reviewed. The average follow up was 7 years. Ten of them presented bilaterally. The male/female ratio was 4:3, and the mean age was 57 years. An MRI was performed, and the diagnosis confirmed by histopathology. Seven cases were treated conservatively. The clinical results were evaluated using a visual analogue score (VAS) for pain and a comparison of the range of movement during follow up.

Results

Some 18%of the patients worked or practiced sports that called for the use of the affected limb. The 40%of the patients required a post-operative transfusion was required by 40%of the patients, due to having a haemoglobin <8 g/d. The VAS improved from 6 to 2 after the surgery. The range of movement improved on an average of 40. The complications included an infection, 1 hyperalgesic scar, 8 haematomas and 3 seromas, which were resolved in the follow up without incidence. All the patients were free of illness after a mean follow-up of 85 months.

Conclusions

Good results were achieved with a long follow-up. Based on these results and a literature review of the current state of this pathology, an algorithm for its diagnosis and treatment is suggested.