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髋关节滑膜囊肿引起的神经受压综合征

[Nerve compression syndrome caused by synovial cyst of the hip joint].

作者信息

Stadelmann A, Waldis M, von Hochstetter A, Schreiber A

机构信息

Orthopädische Universitätsklinik Balgrist, Zürich.

出版信息

Z Orthop Ihre Grenzgeb. 1992 Mar-Apr;130(2):125-8. doi: 10.1055/s-2008-1040125.

Abstract

Synovitis of the iliopectineal bursa have been described in pigmented villanodular synovitis, synovial chondromatosis, rheumatoid arthritis, osteoarthritis and necrosis of the femoral head. We report a case of enlargement of such a cyst in necrosis of femoral head and consecutive osteoarthritis, leading to entrapment of the femoral nerve. Simple drainage of the cyst did resolve pain for a short period and only elimination of the primum pathologicum agens did definitively release pain, irradiating to the ipsilateral leg.

摘要

髂耻滑囊炎可见于色素沉着绒毛结节性滑膜炎、滑膜软骨瘤病、类风湿关节炎、骨关节炎以及股骨头坏死。我们报告了1例因股骨头坏死及继发性骨关节炎导致该囊肿增大并压迫股神经的病例。单纯囊肿引流仅能在短期内缓解疼痛,只有消除原发性致病因素才能彻底解除向同侧下肢放射的疼痛。

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