Dunstan C R, Evans R A, Somers N M
Metabolic Unit, Concord Hospital, Sydney, Australia.
Bone. 1992;13(2):161-5. doi: 10.1016/8756-3282(92)90006-i.
A 48-year-old man developed transient regional osteoporosis, with hip and later knee pain. He responded well to lumbar sympathectomy. The femur and tibia adjacent to the painful knee were osteoporotic, while the medial femoral condyle showed increased uptake in a bone scan. In the femoral condyle, bone histology showed areas of dead bone undergoing osteoclastic resorption, and increased bone formation. The tibial bone was histologically normal. The partial bone death in the distal femur suggests that the disorder may be related to both avascular necrosis of bone and reflex sympathetic dystrophy.
一名48岁男性患短暂性区域性骨质疏松症，出现髋部疼痛，随后膝关节疼痛。他对腰交感神经切除术反应良好。与疼痛膝关节相邻的股骨和胫骨骨质疏松，而股骨内侧髁在骨扫描中显示摄取增加。在股骨髁，骨组织学显示死骨区域正在进行破骨细胞吸收，且骨形成增加。胫骨组织学正常。股骨远端的部分骨坏死提示该疾病可能与骨缺血性坏死和反射性交感神经营养不良均有关。
