Boussouga M, Tanane M, Bousselmame N, Lazrak K, Taobane H
Service de Traumatologie-Orthopédie I, Hôpital Militaire Mohamed V, Rabat, Maroc, France.
Rev Chir Orthop Reparatrice Appar Mot. 2002 Sep;88(5):522-5.
A 66-year-old woman complained of pain in the left rear foot and malleoli. Standard x-ray and magnetic resonance imaging as well as laboratory tests were non-contributive. Pathology study of a bone biopsy led to the diagnosis of talar tuberculosis. A 12-month regimen combining rifampicin, isoniazid and pyrazinamide was given. Clinical improvement was achieved although the patient developed significant reflex dystrophy. The risk of degeneration compromises the functional future of the ankle joint.
一名66岁女性主诉左后足和踝关节疼痛。标准X线、磁共振成像以及实验室检查均无诊断价值。骨活检的病理研究确诊为距骨结核。给予了为期12个月的利福平、异烟肼和吡嗪酰胺联合治疗方案。尽管患者出现了严重的反射性交感神经营养不良，但临床症状仍有改善。退变风险影响踝关节的未来功能。
