Mechelany E, Haddad F, Bitar E, Kharrat K, Daou R
Service de Chirurgie Orthopédique et Traumatologique, Hôtel-Dieu de France, Beyrouth, Liban.
Ann Radiol (Paris). 1990;33(4-5):284-8.
The authors report a case of synovial chondromatosis of the hip in physically active male adult operated on three years ago and apparently cured. Review of the literature shows that the diagnosis, essentially based on X-ray examination, bone-scan and arthrography, needs to be confirmed by histological examination. Treatment must be surgical and must be carried out as soon as possible to prevent arthrosis. Surgery should include thorough excision of the synovial membrane and a curettage of the acetabular fossa to avoid recurrence. Under these conditions, prognosis appears to be excellent.
作者报告了一例三年前接受手术治疗且明显治愈的身体活跃成年男性髋关节滑膜软骨瘤病病例。文献回顾表明,诊断主要基于X线检查、骨扫描和关节造影,需要通过组织学检查来确诊。治疗必须采用手术方式,且必须尽早进行以预防关节病。手术应包括彻底切除滑膜以及刮除髋臼窝以避免复发。在这些条件下,预后似乎极佳。