Patient's question:
Patient: Male, 4 years old. At the age of 2, an abnormality was found in the left wrist joint, and the patient was taken to the hospital for examination. The doctor said it was nothing. Recently, after further examination, the findings were as follows:DR diagnostic report imaging findings: Localized swelling of the left ulna distal end, with slightly reduced bone density in the swollen area, and shortening of the left ulna distal end.
CT scan: Through a plain scan + super 20-layer CT scan of the left ulna distal end, the imaging findings were as follows: The left ulna is shorter, with swelling at the distal end, coarse and hardened trabecular bone, uneven density in the medullary cavity, and locally thin cortical bone. No significant abnormalities were observed in the bone quality and morphology of the right radius. No significant abnormalities were noted in the surrounding soft tissues.
Doctor's answer:
I have carefully reviewed the X-ray, but the X-ray is not very clear. The most likely diagnosis is an osteochondroma of the distal ulna, which invades the epiphysis, leading to shortening and deformity of the ulna. The treatment consists of two parts: first, the tumor at the distal ulna is resected; second, an ulna lengthening surgery is performed. I will be seeing patients on the 10th floor on Wednesdays and Fridays in the morning. Online appointments or phone appointments are available.