Cotoi A I, Dinu M S, Meetescu R E, Bondari A, Gheonea I A
Radiology and Medical Imaging Departament, University of Medicine and Pharmacy of Craiova, Romania.
Pediatric Orthopedics Departament, Marie Curie Hospital, Bucharest, Romania.
Curr Health Sci J. 2018 Jul-Sep;44(3):299-303. doi: 10.12865/CHSJ.44.03.15. Epub 2018 Jul 15.
Osteoarthrosis is one of the most common degenerative diseases, affecting most of the middle and advanced age population. It is responsible for joint pain, and reduces mobility to functional impotence, thus becoming a public health problem. It is characterized by the destruction of articular cartilage and bone structures forming joints. Although osteoarthritis is considered a disease that occurs predominantly in the elderly, we present herein the case a young female patient, known for pelvic limb inequality and flat leg with advanced arthrosis in the left ankle, secondary to multiple surgical interventions performed at the lower limb. Because of the degenerative phenomena, the patient had reduced mobility, functional impairment and local pain. For the quantification and therapeutic management of degenerative changes produced by this pathology, magnetic resonance imaging (MRI) exploration technique is recommended, allowing visualization of alterations in bone structures and cartilage. This is the standard diagnosis method due to important details on bone structures and cartilages, even in the early stages of the disease. The importance of this case is suggested by the young age of the patient (28 years old) and the advanced stage of the degenerative phenomenon, being rare at this age.
骨关节炎是最常见的退行性疾病之一，影响着大多数中老年人群。它会导致关节疼痛，并使活动能力下降至功能丧失，从而成为一个公共卫生问题。其特征是形成关节的关节软骨和骨结构遭到破坏。尽管骨关节炎被认为是一种主要发生在老年人身上的疾病，但我们在此介绍一位年轻女性患者的病例，该患者因骨盆肢体不等长和平腿而就诊，其左踝关节存在晚期骨关节炎，继发于下肢多次手术干预。由于退行性病变，患者活动能力下降、功能受损且局部疼痛。为了对这种病理所产生的退行性变化进行量化和治疗管理，推荐使用磁共振成像（MRI）检查技术，它能够显示骨结构和软骨的改变。这是标准的诊断方法，因为即使在疾病早期，它也能提供有关骨结构和软骨的重要细节。该病例的重要性体现在患者年轻（28岁）且退行性病变处于晚期，这种情况在这个年龄段较为罕见。
