Van Linthoudt D, Malterre L, Koestli A
Department of Rheumatology, Community Hospital, 2300, La Chaux-de-Fonds, Switzerland.
Clin Rheumatol. 2004 Apr;23(2):163-5. doi: 10.1007/s10067-003-0832-0. Epub 2004 Feb 11.
A 67-year-old woman with a 15-year history of seropositive rheumatoid arthritis developed acute night pain in both shoulders. Examination revealed bilateral swelling and joint mobility impairment. Ultrasonography disclosed joint effusions which were hemorrhagic on aspiration. Radiographs showed the presence of a four-part fracture of both humeral heads. Bilateral humeral head fractures can occur spontaneously in patients with rheumatoid arthritis and osteoporosis. Repeated use of crutches could be a predisposing factor.
一名患有血清阳性类风湿关节炎15年的67岁女性，双肩出现急性夜间疼痛。检查发现双侧肿胀及关节活动障碍。超声检查显示有关节积液，抽吸时为血性。X线片显示双侧肱骨头均有四部分骨折。类风湿关节炎和骨质疏松症患者可自发发生双侧肱骨头骨折。反复使用拐杖可能是一个诱发因素。
