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髋关节滑膜软骨瘤病合并强直性脊柱炎 1 例报告

Synovial Chondromatosis of Hip Joint in a Patient with Ankylosing Spondylitis: A Case Report.

机构信息

Department of Orthopaedics and Trauma Surgery, Scheer Memorial Adventist Hospital, Banepa, Kavre, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 May 5;60(249):478-481. doi: 10.31729/jnma.7370.

Abstract

UNLABELLED

Synovial chondromatosis in association with ankylosing spondylitis is extremely rare and has been reported only once before and this case report is presenting a similar case. The knee is the preferential site of involvement with involvement of the hip being reported sparsely. We herein report a case of a 52-year-old male who came with complaints of the lower back pain for 5 years and left hip pain for 1.5 years who was diagnosed with synovial chondromatosis of the hip joint with axial ankylosing spondylitis and was managed operatively. We here review briefly the clinical manifestations, pathogenesis, diagnosis, previously reported cases as well as treatment of synovial chondromatosis in patients with immune-mediated inflammatory arthritides. There should be a high index of suspicion to diagnose synovial chondromatosis in association with inflammatory arthritides. We also believe that surgical management is an effective method of treatment of an established synovial chondromatosis of the hip joint.

KEYWORDS

ankylosing spondylitis; case reports; hip joint; synovial chondromatosis.

摘要

关节内游离体病

一种罕见的伴发于强直性脊柱炎的疾病

关节内游离体病(Synovial chondromatosis)伴发于强直性脊柱炎(ankylosing spondylitis)极为罕见,此前仅报道过一例,本病例报告呈现了一个相似的病例。膝关节是受累的首选部位,髋关节受累则很少见。我们在此报告一例 52 岁男性,他因腰痛 5 年和左髋关节痛 1.5 年来就诊,被诊断为髋关节滑膜软骨瘤病伴轴向强直性脊柱炎,并接受了手术治疗。我们简要回顾了滑膜软骨瘤病在免疫介导的炎性关节炎患者中的临床表现、发病机制、诊断、以往报道的病例以及治疗方法。对于伴发炎性关节炎的滑膜软骨瘤病,应高度怀疑其诊断。我们还认为,手术治疗是治疗髋关节滑膜软骨瘤病的有效方法。

关键词

强直性脊柱炎;病例报告;髋关节;滑膜软骨瘤病

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67bc/9252221/a840a6f57b84/JNMA-60-249-478-g1.jpg

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