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[原发性肥厚性骨关节病(图赖讷-索伦特-戈勒综合征)中杵状指的矫正]

[Correction of finger clubbing in primary hypertrophic osteoarthropathy (Touraine-Solente-Gole syndrome)].

作者信息

Brüner S, Frerichs O, Raute-Kreinsen U, Fansa H

机构信息

Klinik für Plastische, Rekonstruktive und Asthetische Chirurgie, Handchirurgie, Städtische Kliniken Bielefeld Mitte, Teutoburger Strasse 50, 33604 Bielefeld.

出版信息

Handchir Mikrochir Plast Chir. 2007 Apr;39(2):135-8. doi: 10.1055/s-2007-965017.

Abstract

Finger clubbing can be a single physical finding. In Touraine-Solente-Gole syndrome, the primary form of hypertrophic osteoarthropathy, it is mostly associated with bone pain, hyperhydrosis, pachydermy and wrinkling of the forehead. In other cases, the presence of clubbing is associated with neoplastic, pulmonary, cardiac or other diseases and is then called Bamberger-Pierre-Marie syndrome, the secondary type of hypertrophic osteoarthropathy. The patient's history and careful physical examination, sometimes accompanied by laboratory and imaging studies, leads to the diagnosis. A patient with hereditary hypertrophic osteoarthropathy and its clinical symptoms is presented. Surgical correction of the clubbing fingers is demonstrated in the paper with bilateral resection and shortening of the nail bed, nail matrix and resection of soft tissue. Clubbing fingers are rare, but they might be part of a syndrome or a symptom of other diseases. Reconstructive surgery for aesthetic reasons can be performed.

摘要

杵状指可能是唯一的体征。在原发性肥大性骨关节病的图赖讷 - 索伦特 - 戈勒综合征中,它大多与骨痛、多汗、皮肤增厚及前额皱纹有关。在其他情况下,杵状指的出现与肿瘤、肺部、心脏或其他疾病相关,此时被称为班贝格 - 皮埃尔 - 玛丽综合征,即继发性肥大性骨关节病。患者的病史及仔细的体格检查,有时辅以实验室和影像学检查,可做出诊断。本文介绍了一名患有遗传性肥大性骨关节病及其临床症状的患者。文中展示了通过双侧切除并缩短甲床、甲母质以及切除软组织来对杵状指进行手术矫正。杵状指较为罕见,但可能是某种综合征的一部分或其他疾病的症状。出于美观原因可进行整形手术。

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