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神经源性关节病。鉴别诊断。

Neurogenic arthropathy. Differential diagnosis.

作者信息

Arlecchini S, Busanelli L, Masetti C

机构信息

Servizio di Neurofisiopatologia, Istituto Ortopedico Rizzoli, Bologna.

出版信息

Chir Organi Mov. 1992 Oct-Dec;77(4):317-20.

PMID:1297565
Abstract

Neurological affections responsible for secondary arthropathic pathology are: tabes, syringomyelia, diabetes mellitus, congenital insensitivity to pain syndrome, alcoholism, leprosy. Each of the affections shows predilection for specific joints: syringomyelia the shoulder, tabes the hip and knee, diabetes mellitus the foot, congenital insensitivity to pain the lower limb, alcoholism the shoulder and knee. The authors discuss two cases of hip arthropathy in previous dorsal myelic fractures.

摘要

导致继发性关节病病理的神经病变有

脊髓痨、脊髓空洞症、糖尿病、先天性无痛觉综合征、酒精中毒、麻风病。每种病变对特定关节有偏好:脊髓空洞症好发于肩部,脊髓痨好发于髋部和膝部,糖尿病好发于足部,先天性无痛觉好发于下肢,酒精中毒好发于肩部和膝部。作者讨论了2例既往有胸椎骨折的髋关节炎病例。

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