nach oben

Obere Extremität

Erschienen in:

16.08.2023 | Riesenzelltumor | Übersicht

Kolibris der Ellenbogensteife

Seltene Ursachen der Ellenbogensteife durch Tumoren und tumorähnliche Läsionen

verfasst von: Dr. Silvan Wittenberg, Ulrich Stöckle, Kathi Thiele, Anne Flörcken, Anne Dörr, Daniel Rau, Sven Märdian

Erschienen in: Obere Extremität | Ausgabe 3/2023

Einloggen, um Zugang zu erhalten

Zusammenfassung

Die Ellenbogensteife kann in seltenen Fällen neben den traumatischen und herkömmlichen atraumatischen Ursachen auch durch benigne und maligne Tumoren des Weichgewebes und Knochens verursacht werden. Die gängigsten Tumoren und tumorähnlichen Läsionen rund um den Ellenbogen werden hinsichtlich der Epidemiologie, aber auch ihrer Behandlung und Prognose in diesem Artikel übersichtsweise vorgestellt.

Abarca T, Gao Y, Monga V et al (2018) Improved survival for extremity soft tissue sarcoma treated in high-volume facilities. J Surg Oncol 117:1479–1486PubMedPubMedCentral

Aksnes LH, Bauer HC, Jebsen NL et al (2008) Limb-sparing surgery preserves more function than amputation: a scandinavian sarcoma group study of 118 patients. J Bone Joint Surg Br 90:786–794PubMed

Al Farii H, Zhou S, Turcotte R (2019) The surgical outcome and recurrence rate of tenosynovial giant cell tumor in the elbow: a literature review. J Shoulder Elbow Surg 28:1835–1840PubMed

Alektiar KM, Mckee AB, Jacobs JM et al (2002) Outcome of primary soft tissue sarcoma of the knee and elbow. Int J Radiat Oncol Biol Phys 54:163–169PubMed

Aletaha D, Smolen JS (2018) Diagnosis and management of rheumatoid arthritis: a review. JAMA 320:1360–1372PubMed

Assoun J, Richardi G, Railhac JJ et al (1994) Osteoid osteoma: MR imaging versus CT. Radiology 191:217–223PubMed

Azurin ES, Yamamoto N, Hayashi K et al (2022) Clinical outcomes of soft tissue sarcoma around the elbow joint: a retrospective single institution study. Sarcoma 2022:1087726PubMedPubMedCentral

Balke M, Schremper L, Gebert C et al (2008) Giant cell tumor of bone: treatment and outcome of 214 cases. J Cancer Res Clin Oncol 134:969–978PubMed

Barei DP, Moreau G, Scarborough MT et al (2000) Percutaneous radiofrequency ablation of osteoid osteoma. Clin Orthop Relat Res 373:115–124

10.

Barrientos-Ruiz I, Ortiz-Cruz EJ, Serrano-Montilla J et al (2017) Are biopsy tracts a concern for seeding and local recurrence in sarcomas? Clin Orthop Relat Res 475:511–518PubMed

11.

Branstetter DG, Nelson SD, Manivel JC et al (2012) Denosumab induces tumor reduction and bone formation in patients with giant-cell tumor of bone. Clin Cancer Res 18:4415–4424PubMed

12.

Campanacci M, Baldini N, Boriani S et al (1987) Giant-cell tumor of bone. J Bone Joint Surg Am 69:106–114PubMed

13.

Canter RJ, Qin LX, Ferrone CR et al (2008) Why do patients with low-grade soft tissue sarcoma die? Ann Surg Oncol 15:3550–3560PubMedPubMedCentral

14.

Capanna R, Muratori F, Campo FR et al (2016) Modular megaprosthesis reconstruction for oncological and non-oncological resection of the elbow joint. Injury 47(Suppl 4):S78–S83PubMed

15.

Chakarun CJ, Forrester DM, Gottsegen CJ et al (2013) Giant cell tumor of bone: review, mimics, and new developments in treatment. Radiographics 33:197–211PubMed

16.

Chattopadhyay A, Sharma A, Gupta K et al (2018) The phemister triad. Lancet 391:e20PubMed

17.

Chen WS, Wang CJ, Eng HL (1997) Tuberculous arthritis of the elbow. Int Orthop 21:367–370PubMed

18.

Coles MJ, Tara HH Jr. (1997) Synovial chondromatosis: a case study and brief review. Am J Orthop (Belle Mead NJ) 26:37–40PubMed

19.

Desmoid Tumor Working G (2020) The management of desmoid tumours: a joint global consensus-based guideline approach for adult and paediatric patients. Eur J Cancer 127:96–107

20.

Domingo A, Nomdedeu M, Tomas X et al (2005) Elbow tuberculosis: an unusual location and diagnostic problem. Arch Orthop Trauma Surg 125:56–58PubMed

21.

Durr HR, Capellen CF, Klein A et al (2019) The effects of radiosynoviorthesis in pigmented villonodular synovitis of the knee. Arch Orthop Trauma Surg 139:623–627PubMed

22.

Ebrahimzadeh MH, Choghadeh MF, Moradi A et al (2015) Elbow stiffness secondary to elbow joint osteoid osteoma, a diagnostic dilemma. Arch Bone Jt Surg 3:144–147PubMedPubMedCentral

23.

Ehrenstein V, Andersen SL, Qazi I et al (2017) Tenosynovial giant cell tumor: incidence, prevalence, patient characteristics, and recurrence. A registry-based cohort study in Denmark. J Rheumatol 44:1476–1483PubMed

24.

Evans S, Boffano M, Chaudhry S et al (2014) Synovial chondrosarcoma arising in synovial chondromatosis. Sarcoma 2014:647939PubMedPubMedCentral

25.

Franchi A (2012) Epidemiology and classification of bone tumors. Clin Cases Miner Bone Metab 9:92–95PubMedPubMedCentral

26.

Fromm J, Klein A, Baur-Melnyk A et al (2018) Survival and prognostic factors in conventional central chondrosarcoma. BMC Cancer 18:849PubMedPubMedCentral

27.

Gassert FG, Gassert FT, Specht K et al (2021) Soft tissue masses: distribution of entities and rate of malignancy in small lesions. BMC Cancer 21:93PubMedPubMedCentral

28.

Gatta G, Van Der Zwan JM, Casali PG et al (2011) Rare cancers are not so rare: the rare cancer burden in Europe. Eur J Cancer 47:2493–2511PubMed

29.

Gelhorn HL, Tong S, Mcquarrie K et al (2016) Patient-reported symptoms of tenosynovial giant cell tumors. Clin Ther 38:778–793PubMedPubMedCentral

30.

Giannetti S, Santucci A, Patricola A et al (2013) Neglected synovial osteochondromatosis of the elbow: a rare case. World J Surg Oncol 11:233PubMedPubMedCentral

31.

Glanzmann MC, Imhoff AB, Schwyzer HK (2013) Osteoid osteoma of the shoulder and elbow: from diagnosis to minimally invasive removal. Int Orthop 37:2403–2408PubMedPubMedCentral

32.

Griffin AM, Ferguson PC, Catton CN et al (2012) Long-term outcome of the treatment of high-risk tenosynovial giant cell tumor/pigmented villonodular synovitis with radiotherapy and surgery. Cancer 118:4901–4909PubMed

33.

Gronchi A, Colombo C, Raut CP (2014) Surgical management of localized soft tissue tumors. Cancer 120:2638–2648PubMed

34.

Gronchi A, Miah AB, Dei Tos AP et al (2021) Soft tissue and visceral sarcomas: ESMO-EURACAN-GENTURIS clinical practice guidelines for diagnosis, treatment and follow-up(☆). Ann Oncol 32:1348–1365PubMed

35.

Gurbuz AK, Giardiello FM, Petersen GM et al (1994) Desmoid tumours in familial adenomatous polyposis. Gut 35:377–381PubMedPubMedCentral

36.

Hakim DN, Pelly T, Kulendran M et al (2015) Benign tumours of the bone: a review. J Bone Oncol 4:37–41PubMedPubMedCentral

37.

Hakozaki M, Tajino T, Yamada H et al (2014) Radiological and pathological characteristics of giant cell tumor of bone treated with denosumab. Diagn Pathol 9:111PubMedPubMedCentral

38.

Halai M, Gupta S, Spence S et al (2015) Primary osseous tumours of the elbow: 60 years of registry experience. Shoulder Elbow 7:272–281PubMedPubMedCentral

39.

Heare T, Hensley MA, Dell’orfano S (2009) Bone tumors: osteosarcoma and ewing’s sarcoma. Curr Opin Pediatr 21:365–372PubMed

40.

Henrichs MP, Liem D, Gosheger G et al (2019) Megaprosthetic replacement of the distal humerus: still a challenge in limb salvage. J Shoulder Elbow Surg 28:908–914PubMed

41.

Ingegnoli F, Coletto LA, Scotti I et al (2021) The crucial questions on synovial biopsy: when, why, who, what, where, and how? Front Med (Lausanne) 8:705382PubMed

42.

Jaffe HL (1953) Osteoid-osteoma. Proc R Soc Med 46:1007–1012PubMedPubMedCentral

43.

Jung SS, Lee MK, Lim SH et al (2010) Elbow pain proven to be tuberculous arthritis—A case report. Korean J Anesthesiol 58:211–214PubMedPubMedCentral

44.

Kamal AF, Putra A, Widodo W (2017) Vascularized fibular graft as a surgical option for osteosarcoma of distal humerus: a case report. Int J Surg Case Rep 39:280–284PubMedPubMedCentral

45.

Kamrani RS, Moradi A, Sharafat Vaziri A et al (2017) Arthroscopic ablation of an osteoid osteoma of the elbow: a case series with a minimum of 18 months’ follow-up. J Shoulder Elbow Surg 26:e122–e127PubMed

46.

Kandel R, Coakley N, Werier J et al (2013) Surgical margins and handling of soft-tissue sarcoma in extremities: a clinical practice guideline. Curr Oncol 20:e247–e254PubMedPubMedCentral

47.

Kasper B, Strobel P, Hohenberger P (2011) Desmoid tumors: clinical features and treatment options for advanced disease. Oncologist 16:682–693PubMedPubMedCentral

48.

Kasraeian S, Allison DC, Ahlmann ER et al (2010) A comparison of fine-needle aspiration, core biopsy, and surgical biopsy in the diagnosis of extremity soft tissue masses. Clin Orthop Relat Res 468:2992–3002PubMedPubMedCentral

49.

Kattan MW, Leung DH, Brennan MF (2002) Postoperative nomogram for 12-year sarcoma-specific death. J Clin Oncol 20:791–796PubMed

50.

Keus RB, Rutgers EJ, Ho GH et al (1994) Limb-sparing therapy of extremity soft tissue sarcomas: treatment outcome and long-term functional results. Eur J Cancer 30A:1459–1463PubMed

51.

Kharrazi FD, Busfield BT, Khorshad DS et al (2008) Osteoarticular and total elbow allograft reconstruction with severe bone loss. Clin Orthop Relat Res 466:205–209PubMedPubMedCentral

52.

Kitsoulis P, Mantellos G, Vlychou M (2006) Osteoid osteoma. Acta Orthop Belg 72:119–125PubMed

53.

Kneisl JS, Simon MA (1992) Medical management compared with operative treatment for osteoid-osteoma. J Bone Joint Surg Am 74:179–185PubMed

54.

Kumta SM, Leung PC, Griffith JF et al (2000) Vascularised bone grafting for fibrous dysplasia of the upper limb. J Bone Joint Surg Br 82:409–412PubMed

55.

Kushchayeva YS, Kushchayev SV, Glushko TY et al (2018) Fibrous dysplasia for radiologists: beyond ground glass bone matrix. Insights Imaging 9:1035–1056PubMedPubMedCentral

56.

Leet AI, Chebli C, Kushner H et al (2004) Fracture incidence in polyostotic fibrous dysplasia and the McCune-Albright syndrome. J Bone Miner Res 19:571–577PubMed

57.

Leithner A, Windhager R, Lang S et al (1999) Aneurysmal bone cyst. A population based epidemiologic study and literature review. Clin Orthop Relat Res. https://doi.org/10.1097/00003086-199906000-00023

58.

Limaiem F, Byerly DW, Mabrouk A et al (2022) Osteoblastoma. StatPearls, Treasure Island

59.

Malaviya AN, Kotwal PP (2003) Arthritis associated with tuberculosis. Best Pract Res Clin Rheumatol 17:319–343PubMed

60.

Mavrogenis AF, Igoumenou VG, Megaloikonomos PD et al (2017) Giant cell tumor of bone revisited. SICOT J 3:54PubMedPubMedCentral

61.

Mccarthy C, Anderson WJ, Vlychou M et al (2016) Primary synovial chondromatosis: a reassessment of malignant potential in 155 cases. Skelet Radiol 45:755–762

62.

Mo J, Pan J, Liu Y et al (2020) Bilateral synovial chondromatosis of the elbow in an adolescent: a case report and literature review. BMC Musculoskelet Disord 21:377PubMedPubMedCentral

63.

Myhre-Jensen O (1981) A consecutive 7‑year series of 1331 benign soft tissue tumours. Clinicopathologic data. Comparison with sarcomas. Acta Orthop Scand 52:287–293PubMed

64.

Nandi S, Maschke S, Evans PJ et al (2009) The stiff elbow. Hand (N Y) 4:368–379PubMed

65.

Nestor BJ (1998) Surgical treatment of the rheumatoid elbow. An overview. Rheum Dis Clin North Am 24:83–99PubMed

66.

Niu X, Zhang Q, Hao L et al (2012) Giant cell tumor of the extremity: retrospective analysis of 621 Chinese patients from one institution. J Bone Joint Surg Am 94:461–467PubMed

67.

Noailles T, Brulefert K, Briand S et al (2017) Giant cell tumor of tendon sheath: open surgery or arthroscopic synovectomy? A systematic review of the literature. Orthop Traumatol Surg Res 103:809–814PubMed

68.

Ollivier L, Vanel D, Leclere J (2003) Imaging of chondrosarcomas. Cancer Imaging 4:36–38PubMedPubMedCentral

69.

Orth P, Kohn D (2017) Diagnostics and treatment of osteoid osteoma. Orthopade 46:510–521PubMed

70.

Ozaki T, Hillmann A, Lindner N et al (1997) Cementation of primary aneurysmal bone cysts. Clin Orthop Relat Res 337:240–248

71.

Park HY, Yang SK, Sheppard WL et al (2016) Current management of aneurysmal bone cysts. Curr Rev Musculoskelet Med 9:435–444PubMedPubMedCentral

72.

Pawlowski A, Jansson M, Skold M et al (2012) Tuberculosis and HIV co-infection. PLoS Pathog 8:e1002464PubMedPubMedCentral

73.

Peersman B, Vanhoenacker FM, Heyman S et al (2007) Ewing’s sarcoma: imaging features. J Belg Radiol 90:368–376

74.

Rosenberg ZS, Lev S, Schmahmann S et al (1995) Osteosarcoma: subtle, rare, and misleading plain film features. AJR Am J Roentgenol 165:1209–1214PubMed

75.

Rougraff BT, Aboulafia A, Biermann JS et al (2009) Biopsy of soft tissue masses: evidence-based medicine for the musculoskeletal tumor society. Clin Orthop Relat Res 467:2783–2791PubMedPubMedCentral

76.

Sanchez-Sotelo J, Baghdadi YM, Morrey BF (2016) Primary linked semiconstrained total elbow arthroplasty for rheumatoid arthritis: a single-institution experience with 461 elbows over three decades. J Bone Joint Surg Am 98:1741–1748PubMedPubMedCentral

77.

Savvidou OD, Koutsouradis P, Bolia IK et al (2019) Soft tissue tumours of the elbow: current concepts. EFORT Open Rev 4:668–677PubMed

78.

Savvidou OD, Koutsouradis P, Chloros GD et al (2019) Bone tumours around the elbow: a rare entity. EFORT Open Rev 4:133–142PubMedPubMedCentral

79.

Schwab JH, Healey JH, Athanasian EA (2008) Wide en bloc extra-articular excision of the elbow for sarcoma with complex reconstruction. J Bone Joint Surg Br 90:78–83PubMed

80.

Shi M, Chen L, Wang Y et al (2019) Effect of bisphosphonates on local recurrence of giant cell tumor of bone: a meta-analysis. Cancer Manag Res 11:669–680PubMedPubMedCentral

81.

Sojbjerg JO (1996) The stiff elbow. Acta Orthop Scand 67:626–631PubMed

82.

Studer A, Athwal GS (2011) Rheumatoid arthritis of the elbow. Hand Clin 27:139–150PubMed

83.

Tafti D, Cecava ND (2022) Fibrous dysplasia. StatPearls, Treasure Island

84.

Tepelenis K, Skandalakis GP, Papathanakos G et al (2021) Osteoid osteoma: an updated review of epidemiology, pathogenesis, clinical presentation, radiological features, and treatment option. In Vivo 35:1929–1938PubMedPubMedCentral

85.

Tuli SM (2002) General principles of osteoarticular tuberculosis. Clin Orthop Relat Res 398:11–19

86.

Van Oosterom AT, Dirix LY (1990) Chondrosarcoma and other rare bone sarcomas. Curr Opin Oncol 2:495–499PubMed

87.

Varshney MK, Rastogi S, Khan SA et al (2010) Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop Relat Res 468:1649–1659PubMed

88.

Weber KL, Morrey BF (1999) Osteoid osteoma of the elbow: a diagnostic challenge. J Bone Joint Surg Am 81:1111–1119PubMed

89.

Wittenberg S, Paraskevaidis M, Jarosch A, Flörcken A, Brandes F, Striefler J, Kaul D, Roohani S, Khakzad T, Märdian S, Rau D (2022) Surgical Margins in Soft Tissue Sarcoma Management and Corresponding Local and Systemic Recurrence Rates: A Retrospective Study Covering 11 Years and 169 Patients in a Single Institution. Life (Basel) 12(11):1694. https://doi.org/10.3390/life12111694

Titel: Kolibris der Ellenbogensteife
Seltene Ursachen der Ellenbogensteife durch Tumoren und tumorähnliche Läsionen
verfasst von: Dr. Silvan Wittenberg
Ulrich Stöckle
Kathi Thiele
Anne Flörcken
Anne Dörr
Daniel Rau
Sven Märdian
Publikationsdatum: 16.08.2023
Verlag: Springer Medizin
Schlagwörter: Riesenzelltumor
Knochentumoren
Sarkome
Osteoidosteom
Osteosarkom
Osteosarkom
Erschienen in: Obere Extremität / Ausgabe 3/2023
Print ISSN: 1862-6599
Elektronische ISSN: 1862-6602
DOI: https://doi.org/10.1007/s11678-023-00752-w

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2023

Die proximale Humerusfraktur: Ist die Operation immer die beste Wahl

Relevante Aspekte bei der Kodierung von Eingriffen an der oberen Extremität

Der steife Ellenbogen

Die offene Arthrolyse des Ellenbogengelenks

Distraktionsarthrolyse bei schwerer posttraumatischer Ellenbogensteife