Flemming Donald J, Gustas-French Cristy N
Department of Radiology, Penn State Milton S. Hershey Medical Center, H066, 500 University Dr, Hershey, PA, 17033, USA.
Curr Rheumatol Rep. 2017 Jul;19(7):42. doi: 10.1007/s11926-017-0665-5.
The purpose of this paper is to review the distinct clinical and radiographic features that may lead to prompt diagnosis of rapidly progressive osteoarthritis (RPOA) and thus obviate unnecessary and costly diagnostic workup.
RPOA is uncommon but is more frequently seen in practice because of the aging population. RPOA is a destructive arthropathy that occurs most commonly in elderly women but can also be seen in patients that have sustained trauma. The dramatic radiologic manifestations of RPOA can lead to diagnostic confusion with other arthropathies, infection, and osteonecrosis. RPOA was originally described in the hip but may also involve the shoulder. The etiology of RPOA is not well understood, but subchondral fracture probably plays a role in the development of dramatic destruction of the joint that is seen in affected patients. Early diagnosis may reduce the complexity of surgical management. RPOA is an uncommon condition that occurs most frequently in elderly woman or in patients who have sustained trauma. Prompt recognition of the clinical and radiologic features of this arthropathy can reduce unnecessary diagnostic workup and complexity of surgical intervention.
本文旨在综述那些有助于快速诊断快速进展性骨关节炎（RPOA）的独特临床和影像学特征，从而避免不必要且昂贵的诊断检查。
RPOA并不常见，但由于人口老龄化，在实际临床中更为常见。RPOA是一种破坏性关节病，最常发生于老年女性，但也可见于受过外伤的患者。RPOA显著的影像学表现可能导致与其他关节病、感染及骨坏死相混淆。RPOA最初在髋关节中被描述，但也可能累及肩关节。RPOA的病因尚不完全清楚，但软骨下骨折可能在受累患者关节的显著破坏发展过程中起作用。早期诊断可能降低手术治疗的复杂性。RPOA是一种不常见的疾病，最常发生于老年女性或受过外伤的患者。迅速识别这种关节病的临床和影像学特征可减少不必要的诊断检查及手术干预的复杂性。
