Department of Rheumatology and Rehabilitation, Mansoura University, Mansoura, Egypt.
Rheumatol Int. 2009 Nov;30(1):75-9. doi: 10.1007/s00296-009-0918-3.
In a previous study, the musculoskeletal affections among kidney recipients (KR) were reported, with 63 KR suffering from joint affections. We sought to determine the prevalence of osteonecrosis (ON) among those KR with joint affections, its distribution among the affected joints, and possible risk predictors. KR were subjected to biochemical, haematological, and hepatitis serology estimations. Radiographic and magnetic resonance imaging were performed. Relevant data were retrieved from Patient Information System. Fourteen KR were suffering from ON, with an incidence of 22.2% in KR with joint affections and 12.0% in the target population of KR. The femoral head was affected in 57.1% and the femoral condyles in 28.6%. Hypocalcaemia was observed in KR with ON. Whether hypocalcaemia is a causative or associative of ON yet remains to be decided in forthcoming studies.
在之前的一项研究中，报道了肾移植受者（KR）的肌肉骨骼疾病，其中 63 名 KR 患有关节疾病。我们旨在确定患有关节疾病的 KR 中骨坏死（ON）的患病率、受累关节的分布以及可能的风险预测因素。对 KR 进行了生化、血液学和肝炎血清学评估。进行了放射学和磁共振成像检查。从患者信息系统中检索了相关数据。14 名 KR 患有 ON，在患有关节疾病的 KR 中的发病率为 22.2%，在 KR 的目标人群中的发病率为 12.0%。股骨头受累占 57.1%，股骨髁受累占 28.6%。ON 患者中观察到低钙血症。低钙血症是否是 ON 的病因或相关因素仍有待未来的研究来决定。
