Martin Jason L, Vlachou Paraskevi A
From the Department of Medical Imaging, Diagnostic Radiology Residency Program, University of Toronto, 263 McCaul St, 4th Floor, Toronto, ON, Canada M5T 1W7 (J.L.M.); and Department of Radiology, St. Michael's Hospital, Toronto, Canada (J.L.M., P.A.V.).
Radiology. 2018 Nov;289(2):568-571. doi: 10.1148/radiol.2018162112.
History A 58-year-old woman was seen in the rheumatology clinic for bilateral wrist and knee pain that was unresponsive to physiotherapy and intra-articular steroid injections. Remote fracture of the left tibia from a motor vehicle collision was reported and was previously treated with conservative management. Serologic work-up for inflammatory disease was negative. The patient reported no prior surgical or medical history. Social history revealed remote immigration from Malaysia. Radiographs of the hands and knees were obtained ( Figs 1 - 4 ). [Figure: see text][Figure: see text][Figure: see text][Figure: see text].
一名58岁女性因双侧手腕和膝盖疼痛就诊于风湿病诊所，该疼痛对物理治疗和关节内类固醇注射均无反应。据报告，患者曾因机动车碰撞导致左胫骨远端骨折，此前接受了保守治疗。炎症性疾病的血清学检查结果为阴性。患者报告无既往手术史或病史。社会史显示患者为马来西亚移民。拍摄了双手和膝盖的X光片（图1 - 4）。[图：见正文][图：见正文][图：见正文][图：见正文]
