Radiologie ostéo-articulaire, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France.
Radiologie ostéo-articulaire, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France; Imagerie médicale Léonard-de-Vinci, 43, rue Cortambert, 75016 Paris, France.
Diagn Interv Imaging. 2014 Nov;95(11):1035-44. doi: 10.1016/j.diii.2014.07.004. Epub 2014 Sep 16.
In the absence of obvious trauma, the calcifications/ossifications of the bone surface and soft tissues of the wrist, hand and fingers can be challenging and may not be noticed or lead to unnecessary examinations and monitoring. Although these are usually benign conditions and despite a favorable spontaneous outcome, surgical resection may be required and recurrence may occur. In practice, only paraneoplastic syndromes such as secondary hypertrophic osteoarthropathy (Pierre Marie-Bamberger syndrome) may reveal a malignant tumor, most often pulmonary. We suggest a diagnostic approach based on the initial clinical presentation (acute pain, chronic pain, growth±pain) and the radiological features.
在没有明显外伤的情况下，腕关节、手部和手指的骨表面和软组织的钙化/骨化可能具有挑战性，可能不会被注意到，也不会导致不必要的检查和监测。尽管这些通常是良性的，尽管有良好的自发结果，但可能需要手术切除，并且可能会复发。实际上，只有副肿瘤综合征，如继发性肥大性骨关节病（皮埃尔·玛丽-巴姆伯格综合征），可能会揭示恶性肿瘤，通常是肺部的肿瘤。我们根据初始临床表现（急性疼痛、慢性疼痛、生长+疼痛）和影像学特征建议一种诊断方法。
