Abdelwahab I F, Miller T T, Hermann G, Klein M J, Kenan S, Lewis M M
Department of Radiology, Mount Sinai Medical Center, City University of New York, New York 10029-6574.
Skeletal Radiol. 1991;20(4):279-83. doi: 10.1007/BF02341666.
Eight bone tumors with associated transarticular invasion of the sacroiliac joints are described. All invaded the true synovial joint and spread to the opposing bone. One tumor was benign, and the other seven were malignant. Five of the seven were primary and two were metastatic cancer. One, a myeloma, invaded the disc spaces between the fourth and fifth lumbar vertebrae and the fifth lumbar vertebra and sacrum as well as the sacroiliac joint. The right facet joints of the two vertebrae were also invaded. After a thorough search of the literature, we find that the sacroiliac joint is the most common joint to be invaded by tumors. This is followed by the vertebral disc spaces and, last, the facet joints. Apart from these joints, we were unable to find any radiographic documentation of other joints being transarticularly invaded by tumors. We noted that there is a direct relation between transarticular tumor spread and joints that lack mobility and that certain tumors, benign and malignant, tend to invade these joints.
本文描述了8例伴有骶髂关节经关节侵犯的骨肿瘤。所有肿瘤均侵犯了真正的滑膜关节并蔓延至对侧骨。其中1例为良性肿瘤，另外7例为恶性肿瘤。7例恶性肿瘤中5例为原发性，2例为转移性癌。1例骨髓瘤侵犯了第4、5腰椎之间以及第5腰椎与骶骨之间的椎间盘间隙以及骶髂关节。这两个椎体的右侧小关节也受到了侵犯。在对文献进行全面检索后，我们发现骶髂关节是最常被肿瘤侵犯的关节。其次是椎间盘间隙，最后是小关节。除了这些关节外，我们未能找到其他关节被肿瘤经关节侵犯的影像学记录。我们注意到肿瘤经关节扩散与缺乏活动度的关节之间存在直接关系，并且某些良性和恶性肿瘤倾向于侵犯这些关节。
