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.
Abstract
Besides traumatic and conventional atraumatic causes, elbow stiffness is also caused by benign and malignant tumors of soft tissue and bone. The most common tumors and tumor-like lesions around the elbow are reviewed in this article, including epidemiology, treatment, and prognosis.
Literatur
Abarca T, Gao Y, Monga V et al (2018) Improved survival for extremity soft tissue sarcoma treated in high-volume facilities. J Surg Oncol 117:1479–1486
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 90:786–794
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 28:1835–1840
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 54:163–169
Aletaha D, Smolen JS (2018) Diagnosis and management of rheumatoid arthritis: a review. JAMA 320:1360–1372
Assoun J, Richardi G, Railhac JJ et al (1994) Osteoid osteoma: MR imaging versus CT. Radiology 191:217–223
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 2022:1087726
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 134:969–978
Barei DP, Moreau G, Scarborough MT et al (2000) Percutaneous radiofrequency ablation of osteoid osteoma. Clin Orthop Relat Res 373:115–124
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 475:511–518
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 18:4415–4424
Campanacci M, Baldini N, Boriani S et al (1987) Giant-cell tumor of bone. J Bone Joint Surg Am 69:106–114
Canter RJ, Qin LX, Ferrone CR et al (2008) Why do patients with low-grade soft tissue sarcoma die? Ann Surg Oncol 15:3550–3560
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–S83
Chakarun CJ, Forrester DM, Gottsegen CJ et al (2013) Giant cell tumor of bone: review, mimics, and new developments in treatment. Radiographics 33:197–211
Chattopadhyay A, Sharma A, Gupta K et al (2018) The phemister triad. Lancet 391:e20
Chen WS, Wang CJ, Eng HL (1997) Tuberculous arthritis of the elbow. Int Orthop 21:367–370
Coles MJ, Tara HH Jr. (1997) Synovial chondromatosis: a case study and brief review. Am J Orthop (Belle Mead NJ) 26:37–40
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
Domingo A, Nomdedeu M, Tomas X et al (2005) Elbow tuberculosis: an unusual location and diagnostic problem. Arch Orthop Trauma Surg 125:56–58
Durr HR, Capellen CF, Klein A et al (2019) The effects of radiosynoviorthesis in pigmented villonodular synovitis of the knee. Arch Orthop Trauma Surg 139:623–627
Ebrahimzadeh MH, Choghadeh MF, Moradi A et al (2015) Elbow stiffness secondary to elbow joint osteoid osteoma, a diagnostic dilemma. Arch Bone Jt Surg 3:144–147
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 44:1476–1483
Evans S, Boffano M, Chaudhry S et al (2014) Synovial chondrosarcoma arising in synovial chondromatosis. Sarcoma 2014:647939
Franchi A (2012) Epidemiology and classification of bone tumors. Clin Cases Miner Bone Metab 9:92–95
Fromm J, Klein A, Baur-Melnyk A et al (2018) Survival and prognostic factors in conventional central chondrosarcoma. BMC Cancer 18:849
Gassert FG, Gassert FT, Specht K et al (2021) Soft tissue masses: distribution of entities and rate of malignancy in small lesions. BMC Cancer 21:93
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 47:2493–2511
Gelhorn HL, Tong S, Mcquarrie K et al (2016) Patient-reported symptoms of tenosynovial giant cell tumors. Clin Ther 38:778–793
Giannetti S, Santucci A, Patricola A et al (2013) Neglected synovial osteochondromatosis of the elbow: a rare case. World J Surg Oncol 11:233
Glanzmann MC, Imhoff AB, Schwyzer HK (2013) Osteoid osteoma of the shoulder and elbow: from diagnosis to minimally invasive removal. Int Orthop 37:2403–2408
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 118:4901–4909
Gronchi A, Colombo C, Raut CP (2014) Surgical management of localized soft tissue tumors. Cancer 120:2638–2648
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 32:1348–1365
Gurbuz AK, Giardiello FM, Petersen GM et al (1994) Desmoid tumours in familial adenomatous polyposis. Gut 35:377–381
Hakim DN, Pelly T, Kulendran M et al (2015) Benign tumours of the bone: a review. J Bone Oncol 4:37–41
Hakozaki M, Tajino T, Yamada H et al (2014) Radiological and pathological characteristics of giant cell tumor of bone treated with denosumab. Diagn Pathol 9:111
Halai M, Gupta S, Spence S et al (2015) Primary osseous tumours of the elbow: 60 years of registry experience. Shoulder Elbow 7:272–281
Heare T, Hensley MA, Dell’orfano S (2009) Bone tumors: osteosarcoma and ewing’s sarcoma. Curr Opin Pediatr 21:365–372
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 28:908–914
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) 8:705382
Jaffe HL (1953) Osteoid-osteoma. Proc R Soc Med 46:1007–1012
Jung SS, Lee MK, Lim SH et al (2010) Elbow pain proven to be tuberculous arthritis—A case report. Korean J Anesthesiol 58:211–214
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 39:280–284
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–e127
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–e254
Kasper B, Strobel P, Hohenberger P (2011) Desmoid tumors: clinical features and treatment options for advanced disease. Oncologist 16:682–693
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 468:2992–3002
Kattan MW, Leung DH, Brennan MF (2002) Postoperative nomogram for 12-year sarcoma-specific death. J Clin Oncol 20:791–796
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:1459–1463
Kharrazi FD, Busfield BT, Khorshad DS et al (2008) Osteoarticular and total elbow allograft reconstruction with severe bone loss. Clin Orthop Relat Res 466:205–209
Kitsoulis P, Mantellos G, Vlychou M (2006) Osteoid osteoma. Acta Orthop Belg 72:119–125
Kneisl JS, Simon MA (1992) Medical management compared with operative treatment for osteoid-osteoma. J Bone Joint Surg Am 74:179–185
Kumta SM, Leung PC, Griffith JF et al (2000) Vascularised bone grafting for fibrous dysplasia of the upper limb. J Bone Joint Surg Br 82:409–412
Kushchayeva YS, Kushchayev SV, Glushko TY et al (2018) Fibrous dysplasia for radiologists: beyond ground glass bone matrix. Insights Imaging 9:1035–1056
Leet AI, Chebli C, Kushner H et al (2004) Fracture incidence in polyostotic fibrous dysplasia and the McCune-Albright syndrome. J Bone Miner Res 19:571–577
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
Limaiem F, Byerly DW, Mabrouk A et al (2022) Osteoblastoma. StatPearls, Treasure Island
Malaviya AN, Kotwal PP (2003) Arthritis associated with tuberculosis. Best Pract Res Clin Rheumatol 17:319–343
Mavrogenis AF, Igoumenou VG, Megaloikonomos PD et al (2017) Giant cell tumor of bone revisited. SICOT J 3:54
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
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 21:377
Myhre-Jensen O (1981) A consecutive 7‑year series of 1331 benign soft tissue tumours. Clinicopathologic data. Comparison with sarcomas. Acta Orthop Scand 52:287–293
Nandi S, Maschke S, Evans PJ et al (2009) The stiff elbow. Hand (N Y) 4:368–379
Nestor BJ (1998) Surgical treatment of the rheumatoid elbow. An overview. Rheum Dis Clin North Am 24:83–99
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 94:461–467
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 103:809–814
Ollivier L, Vanel D, Leclere J (2003) Imaging of chondrosarcomas. Cancer Imaging 4:36–38
Orth P, Kohn D (2017) Diagnostics and treatment of osteoid osteoma. Orthopade 46:510–521
Ozaki T, Hillmann A, Lindner N et al (1997) Cementation of primary aneurysmal bone cysts. Clin Orthop Relat Res 337:240–248
Park HY, Yang SK, Sheppard WL et al (2016) Current management of aneurysmal bone cysts. Curr Rev Musculoskelet Med 9:435–444
Pawlowski A, Jansson M, Skold M et al (2012) Tuberculosis and HIV co-infection. PLoS Pathog 8:e1002464
Peersman B, Vanhoenacker FM, Heyman S et al (2007) Ewing’s sarcoma: imaging features. J Belg Radiol 90:368–376
Rosenberg ZS, Lev S, Schmahmann S et al (1995) Osteosarcoma: subtle, rare, and misleading plain film features. AJR Am J Roentgenol 165:1209–1214
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 467:2783–2791
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 98:1741–1748
Savvidou OD, Koutsouradis P, Bolia IK et al (2019) Soft tissue tumours of the elbow: current concepts. EFORT Open Rev 4:668–677
Savvidou OD, Koutsouradis P, Chloros GD et al (2019) Bone tumours around the elbow: a rare entity. EFORT Open Rev 4:133–142
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 90:78–83
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 11:669–680
Sojbjerg JO (1996) The stiff elbow. Acta Orthop Scand 67:626–631
Studer A, Athwal GS (2011) Rheumatoid arthritis of the elbow. Hand Clin 27:139–150
Tafti D, Cecava ND (2022) Fibrous dysplasia. StatPearls, Treasure Island
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 35:1929–1938
Tuli SM (2002) General principles of osteoarticular tuberculosis. Clin Orthop Relat Res 398:11–19
Van Oosterom AT, Dirix LY (1990) Chondrosarcoma and other rare bone sarcomas. Curr Opin Oncol 2:495–499
Varshney MK, Rastogi S, Khan SA et al (2010) Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop Relat Res 468:1649–1659
Weber KL, Morrey BF (1999) Osteoid osteoma of the elbow: a diagnostic challenge. J Bone Joint Surg Am 81:1111–1119
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
Danksagung
Die Autoren danken den Mitgliedern des Sarkom-Zentrums der Charité für die langjährige gute interdisziplinäre Zusammenarbeit bei der Behandlung von Patienten mit Weichgewebe- und Knochentumoren.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Interessenkonflikt
S. Wittenberg, U. Stöckle, K. Thiele, A. Flörcken, A. Dörr, D. Rau und S. Märdian geben an, dass kein Interessenkonflikt besteht.
Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
Additional information
QR-Code scannen & Beitrag online lesen
Rights and permissions
About this article
Cite this article
Wittenberg, S., Stöckle, U., Thiele, K. et al. Kolibris der Ellenbogensteife. Obere Extremität 18, 176–186 (2023). https://doi.org/10.1007/s11678-023-00752-w
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11678-023-00752-w