Goodnough C P, Frymoyer J W
J Trauma. 1975 Nov;15(11):960-5. doi: 10.1097/00005373-197511000-00003.
Eight cases of non-metallic foreign body synovitis are presented. In all cases, an apparently innocuous penetrating injury led to synovitis, and early articular cartilage destruction. Delay in appropriate diagnosis frequently occurred because of confusion regarding the management of these injuries. Pitfalls identified were: 1) failure to appreciate the seriousness of the initial injury and to debride the wound appropriately; 2) failure to obtain satisfactory initial radiographs; 3) failure to explore the wounds surgically; 4) failure to appreciate that a symptom-free interval may follow foreign body penetration. Synovectomy was necessary in six cases to ensure removal of either microscopic or hidden gross particulate matter. Pathologically, these specimens showed chronic synovitis and foreign body granuloma. The implications of such foreign bodies to longterm joint degeneration are discussed.
本文报告了8例非金属异物性滑膜炎病例。在所有病例中，看似无害的穿透性损伤均导致滑膜炎和早期关节软骨破坏。由于对这些损伤的处理存在困惑，常出现诊断延误。发现的陷阱包括：1）未认识到初始损伤的严重性，未对伤口进行适当清创；2）未能获得满意的初始X线片；3）未进行手术探查伤口；4）未认识到异物穿透后可能有症状缓解期。6例患者需要进行滑膜切除术，以确保清除显微镜下或隐藏的肉眼可见的颗粒物质。病理检查显示，这些标本表现为慢性滑膜炎和异物肉芽肿。本文还讨论了此类异物对长期关节退变的影响。
