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Kolibris der Ellenbogensteife

Seltene Ursachen der Ellenbogensteife durch Tumoren und tumorähnliche Läsionen

Rare etiologies of elbow stiffness

Uncommon causes of stiffness due to tumors and tumor-like lesions

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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.

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Literatur

  1. 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

    PubMed  PubMed Central  Google Scholar 

  2. 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

    CAS  PubMed  Google Scholar 

  3. 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

    PubMed  Google Scholar 

  4. 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

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  7. 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

    PubMed  PubMed Central  Google Scholar 

  8. 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

    CAS  PubMed  Google Scholar 

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

    Google Scholar 

  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 475:511–518

    PubMed  Google Scholar 

  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 18:4415–4424

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  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–S83

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  16. Chattopadhyay A, Sharma A, Gupta K et al (2018) The phemister triad. Lancet 391:e20

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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

    Google Scholar 

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

    PubMed  Google Scholar 

  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 139:623–627

    PubMed  Google Scholar 

  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 3:144–147

    PubMed  PubMed Central  Google Scholar 

  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 44:1476–1483

    PubMed  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  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 21:93

    CAS  PubMed  PubMed Central  Google Scholar 

  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 47:2493–2511

    PubMed  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  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 118:4901–4909

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  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 32:1348–1365

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  PubMed Central  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  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 9:111

    PubMed  PubMed Central  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

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

    PubMed  Google Scholar 

  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 28:908–914

    PubMed  Google Scholar 

  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) 8:705382

    PubMed  Google Scholar 

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

    CAS  PubMed  PubMed Central  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  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 39:280–284

    PubMed  PubMed Central  Google Scholar 

  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–e127

    PubMed  Google Scholar 

  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–e254

    CAS  PubMed  PubMed Central  Google Scholar 

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

    CAS  PubMed  PubMed Central  Google Scholar 

  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 468:2992–3002

    PubMed  PubMed Central  Google Scholar 

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

    PubMed  Google Scholar 

  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:1459–1463

    CAS  PubMed  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

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

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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 82:409–412

    CAS  PubMed  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  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 19:571–577

    PubMed  Google Scholar 

  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

    Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  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

    CAS  Google Scholar 

  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 21:377

    PubMed  PubMed Central  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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 94:461–467

    PubMed  Google Scholar 

  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 103:809–814

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  PubMed Central  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  72. Pawlowski A, Jansson M, Skold M et al (2012) Tuberculosis and HIV co-infection. PLoS Pathog 8:e1002464

    CAS  PubMed  PubMed Central  Google Scholar 

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

    CAS  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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 467:2783–2791

    PubMed  PubMed Central  Google Scholar 

  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 98:1741–1748

    PubMed  PubMed Central  Google Scholar 

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

    PubMed  Google Scholar 

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

    PubMed  PubMed Central  Google Scholar 

  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 90:78–83

    CAS  PubMed  Google Scholar 

  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 11:669–680

    PubMed  PubMed Central  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

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

    Google Scholar 

  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 35:1929–1938

    CAS  PubMed  PubMed Central  Google Scholar 

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

    Google Scholar 

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

    PubMed  Google Scholar 

  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 468:1649–1659

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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

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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.

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Correspondence to Silvan Wittenberg.

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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.

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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

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