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一例病因罕见的髋关节夏科氏神经关节病

A Rare Charcot Neuro-Osteoarthropathy of Hip with an Uncommon Cause.

作者信息

Vijay Chandran, Geethapriya Sivaramalingam, Govindaraj Jayaraj, Raghavan Bagyam

机构信息

Depertment of Radiology, Apollo Speciality Hospital, Padma Complex, Anna Salai, Chennai, Tamil Nadu.

出版信息

Indian J Radiol Imaging. 2022 Dec 26;33(2):240-245. doi: 10.1055/s-0042-1758879. eCollection 2023 Apr.

Abstract

Neuro-osteoarthropathy often called as Charcot joint results from decreased sensory innervations of the involved joint resulting in severely damaged and disrupted joints and involvement of adjacent soft tissues. Charcot joint is characterized by the "6Ds," which are i) distended joints, ii) density increase, iii) debris production, iv) dislocation, v) disorganization, and vi) destruction. Hip joint involvement is very rare probably because of rich nerve supply compared with other peripheral joints. To minimize the joint deformity and loss of function, early diagnosis is of great importance in which radiological imaging plays a major role.

摘要

神经骨关节病通常称为夏科关节,是由受累关节的感觉神经支配减少导致关节严重受损和破坏以及相邻软组织受累引起的。夏科关节的特征是“6D”,即:i)关节肿胀,ii)密度增加,iii)碎片产生,iv)脱位,v)结构紊乱,vi)破坏。髋关节受累非常罕见,可能是因为与其他外周关节相比,其神经供应丰富。为了尽量减少关节畸形和功能丧失,早期诊断非常重要,其中放射影像学起着主要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f526/10132876/89157ade2baf/10-1055-s-0042-1758879-i2180718-1.jpg

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