Yang Jae-Hyuk, Oh Kwang-Jun, Pandher Dilbans S
Department of Orthopaedic Surgery, Seoul Veterans Hospital, Seoul, Republic of Korea.
Indian J Orthop. 2011 Nov;45(6):569-72. doi: 10.4103/0019-5413.87139.
Destructive arthropathy of the hip joint can be attributed to various etiologies like rheumatoid arthritis, aseptic necrosis of the femur head, Charcot's joint, subacute septic arthritis, and tubercular arthritis. A disease that results in much rapid destruction of the hip joint and is not associated with clinical syndrome of above mentioned disease has been reported way back in 1970. However, no evidence-based study has been published to support hydroxyapatite (HA) crystals as a probable cause of rapidly destructive arthropathy of the hip joint. We report a case with microscopic and biochemical confirmation of HA crystal deposition causing destructive arthropathy of the hip joint.
髋关节的破坏性关节病可归因于多种病因,如类风湿性关节炎、股骨头无菌性坏死、夏科氏关节、亚急性化脓性关节炎和结核性关节炎。早在1970年就有报道称有一种疾病会导致髋关节迅速破坏,且与上述疾病的临床综合征无关。然而,尚无基于证据的研究发表以支持羟基磷灰石(HA)晶体是髋关节快速破坏性关节病的可能病因。我们报告一例经显微镜和生化证实的HA晶体沉积导致髋关节破坏性关节病的病例。