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Turner 综合征合并盘状外侧半月板及 Blount 病 1 例报告

Turner's syndrome associated with discoid lateral meniscus and Blount's disease: a case report.

机构信息

Department of Orthopedic Surgery, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan.

出版信息

BMC Musculoskelet Disord. 2021 May 15;22(1):449. doi: 10.1186/s12891-021-04336-z.

DOI:10.1186/s12891-021-04336-z
PMID:33992118
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8126072/
Abstract

BACKGROUND

Turner's syndrome, discoid meniscus, and Blount's disease have all been studied in isolation, but, to the best of our knowledge, there have been no studies reporting a patient with all three. Thus, the first case of Turner's syndrome with discoid meniscus and Blount's disease is presented.

CASE PRESENTATION

A 5-year-old Japanese girl with a history of Turner's syndrome and Blount's disease complained of pain in her left knee. Magnetic resonance imaging showed a discoid lateral meniscus tear, and arthroscopic partial meniscectomy was performed, providing a good outcome.

CONCLUSIONS

In this report, some possible explanations regarding the concomitant presence of these three diseases are discussed. A possible explanation in this case is that the patient with Turner's syndrome had a discoid lateral meniscus that might have been induced by some genetic factors associated with Turner's syndrome, and then the discoid lateral meniscus might have been the mechanical stress that caused Blount's disease.

摘要

背景

特纳综合征、盘状半月板和 Blount 病都已经分别进行了研究,但据我们所知,还没有研究报道同时患有这三种疾病的患者。因此,我们报告首例特纳综合征合并盘状半月板和 Blount 病的病例。

病例介绍

一名 5 岁日本女孩,患有特纳综合征和 Blount 病,诉左膝疼痛。磁共振成像显示外侧盘状半月板撕裂,行关节镜下部分半月板切除术,取得良好效果。

结论

在本报告中,我们讨论了同时存在这三种疾病的一些可能的解释。在这种情况下,一种可能的解释是,特纳综合征患者存在外侧盘状半月板,这可能是由特纳综合征相关的某些遗传因素引起的,而外侧盘状半月板可能是导致 Blount 病的机械应力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/7140989903c0/12891_2021_4336_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/c582fd8d9bbe/12891_2021_4336_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/bcb0758870bf/12891_2021_4336_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/7e522aaa957f/12891_2021_4336_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/091e27ed9771/12891_2021_4336_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/7140989903c0/12891_2021_4336_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/c582fd8d9bbe/12891_2021_4336_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/bcb0758870bf/12891_2021_4336_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/7e522aaa957f/12891_2021_4336_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/091e27ed9771/12891_2021_4336_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c141/8126072/7140989903c0/12891_2021_4336_Fig5_HTML.jpg

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本文引用的文献

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Turner syndrome: mechanisms and management.特纳综合征:发病机制与治疗。
Nat Rev Endocrinol. 2019 Oct;15(10):601-614. doi: 10.1038/s41574-019-0224-4. Epub 2019 Jun 18.
2
A basic understanding of Turner syndrome: Incidence, complications, diagnosis, and treatment.特纳综合征的基本认识:发病率、并发症、诊断及治疗
Intractable Rare Dis Res. 2018 Nov;7(4):223-228. doi: 10.5582/irdr.2017.01056.
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Blount disease.Blount 病。
Orthop Traumatol Surg Res. 2019 Feb;105(1S):S111-S121. doi: 10.1016/j.otsr.2018.01.009. Epub 2018 Feb 23.
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Diagnosis and Treatment of Discoid Meniscus.盘状半月板的诊断与治疗
Knee Surg Relat Res. 2016 Dec 1;28(4):255-262. doi: 10.5792/ksrr.16.050.
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Do the radiographic findings of symptomatic discoid lateral meniscus in children differ from normal control subjects?有症状的儿童盘状外侧半月板的影像学表现与正常对照受试者是否不同?
Knee Surg Sports Traumatol Arthrosc. 2015 Apr;23(4):1128-34. doi: 10.1007/s00167-014-2924-6. Epub 2014 Mar 12.
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MRI evaluation of the knee in children with infantile Blount disease: tibial and extra-tibial findings.MRI 评估婴儿性 Blount 病患儿的膝关节:胫骨和胫骨外的发现。
Pediatr Radiol. 2013 Oct;43(10):1316-26. doi: 10.1007/s00247-013-2686-1. Epub 2013 Apr 25.
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Perturbation of the transforming growth factor β system in Turner syndrome.特纳综合征中转化生长因子β系统的扰动。
Beijing Da Xue Xue Bao Yi Xue Ban. 2012 Oct 18;44(5):720-4.
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Intra-articular morphology of the knee joint in children with Blount disease: a case-control study using MRI.儿童 Blount 病膝关节的关节内形态:MRI 病例对照研究。
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Autoimmune disorders in women with turner syndrome and women with karyotypically normal primary ovarian insufficiency.特纳综合征女性和核型正常原发性卵巢功能不全女性的自身免疫性疾病。
J Autoimmun. 2012 Jun;38(4):315-21. doi: 10.1016/j.jaut.2012.01.015. Epub 2012 Feb 18.
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