McAninch Scott A, Adkison Jonathan, Meyers Ridgely, Benham Michael
Departments of Emergency Medicine (McAninch, Benham) and Radiology (Adkison, Meyers), Scott and White Medical Center - Temple and Texas A&M Health Science Center College of Medicine, Temple, Texas.
Proc (Bayl Univ Med Cent). 2017 Jan;30(1):88-91. doi: 10.1080/08998280.2017.11929543.
Lead foreign bodies in joint spaces, often due to projectiles such as bullets, may cause localized arthropathy. There are no reports of joint fracture related to lead arthropathy. Additionally, lead foreign bodes embedded in the joint space may be a source of systemic lead absorption, causing elevated blood lead levels and toxicity to other organs. We present a young adult patient with retained left hip joint bullet fragments who developed suspected lead arthropathy and subsequent acute left hip fracture, as well as systemic lead absorption demonstrated by elevated blood lead levels.
关节间隙中的铅异物,通常由子弹等投射物造成,可能会引起局部关节病。目前尚无与铅中毒性关节病相关的关节骨折报告。此外,嵌入关节间隙的铅异物可能是全身铅吸收的一个来源,导致血铅水平升高并对其他器官产生毒性。我们报告了一名年轻成年患者,其左髋关节内残留子弹碎片,出现了疑似铅中毒性关节病及随后的急性左髋关节骨折,同时血铅水平升高证明有全身铅吸收。