Santavirta S, Hopfner-Hallikainen D, Paukku P, Sandelin J, Konttinen Y T
Surgical Hospital, Division of Orthopedics and Traumatology, Helsinki, Finland.
J Rheumatol. 1988 Feb;15(2):217-23.
Twenty-three patients with severe, longterm (22 years, range 8-36) rheumatoid arthritis were evaluated for rheumatoid changes in the atlantoaxial facet joints using a panoramic zonography program. Ten patients had vertical subluxation of the odontoid process. In 9 of 10 cases this mode of subluxation was associated with grade 3-4 arthritis in the facet joints. Our findings indicate atlantoaxial facet joint arthritis with bilateral collapse of the lateral facet joint masses as a cause of vertical subluxation. Furthermore, we suggest that panoramic zonography investigation is a valuable contribution to the pattern of radiographic examination of the atlantoaxial facet joint arthritis, especially for evaluation of its clinical counterparts: nonreducible lateral head tilt and vertical atlantoaxial subluxation.
使用全景分区摄影程序对23例患有严重、长期（22年，范围8 - 36年）类风湿性关节炎的患者进行寰枢关节小面关节类风湿改变的评估。10例患者存在齿状突垂直半脱位。在10例中的9例中，这种半脱位模式与小面关节3 - 4级关节炎相关。我们的研究结果表明，寰枢关节小面关节关节炎伴双侧小面关节块塌陷是垂直半脱位的原因。此外，我们认为全景分区摄影检查对寰枢关节小面关节关节炎的放射学检查模式有重要贡献，特别是对于评估其临床对应表现：不可复位的侧头倾斜和寰枢椎垂直半脱位。
