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亚临床踝关节结核性关节炎——骨闪烁成像的作用：病例系列

Subclinical ankle joint tuberculous arthritis - The role of scintigraphy: A case series.

作者信息

Primadhi Raden Andri, Kartamihardja Achmad Hussein Sundawa

机构信息

Department Orthopaedics and Traumatology, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung 40161, Indonesia.

Departement of Nuclear Medicine and Molecular Imaging, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung 40161, Indonesia.

出版信息

World J Orthop. 2023 Apr 18;14(4):260-267. doi: 10.5312/wjo.v14.i4.260.

DOI:10.5312/wjo.v14.i4.260
PMID:37155508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10122779/
Abstract

BACKGROUND

Tuberculosis remains a complicated problem. A lack of awareness accompanied by difficulty in diagnosis hinders the management of tuberculosis. Delayed management, particularly in osteoarticular regions, results in unnecessary procedures, including joint-sacrificing surgery.

CASE SUMMARY

Three cases of subclinical ankle joint tuberculosis without clear signs of tuberculosis were presented. The efficacy of technetium-99m-ethambutol scintigraphy in diagnosing early-stage tuberculous arthritis is reported.

CONCLUSION

The reports suggested that scintigraphy is recommended to diagnose subclinical tuberculous arthritis, especially in tuberculosis endemic regions.

摘要

背景

结核病仍然是一个复杂的问题。认识不足以及诊断困难阻碍了结核病的管理。管理延迟，尤其是在骨关节区域，会导致不必要的手术，包括关节置换手术。

病例摘要

本文报告了3例无明显结核体征的亚临床踝关节结核病例。报道了99m锝-乙胺丁醇闪烁扫描术在诊断早期结核性关节炎中的疗效。

结论

这些报告表明，推荐使用闪烁扫描术诊断亚临床结核性关节炎，尤其是在结核病流行地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2de/10122779/18f8bb76c536/WJO-14-260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2de/10122779/62c1152e449c/WJO-14-260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2de/10122779/58fa2e551641/WJO-14-260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2de/10122779/8a0a2a19ec0c/WJO-14-260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2de/10122779/18f8bb76c536/WJO-14-260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2de/10122779/62c1152e449c/WJO-14-260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2de/10122779/58fa2e551641/WJO-14-260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2de/10122779/8a0a2a19ec0c/WJO-14-260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2de/10122779/18f8bb76c536/WJO-14-260-g004.jpg

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本文引用的文献

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Tuberculosis arthritis of the ankle mimicking a talar osteochondritis.踝关节结核性关节炎，类似距骨骨软骨炎。
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Tuberculous septic arthritis of the hip with large abscess formation mimicking soft tissue tumors: A case report.髋关节结核性脓毒性关节炎伴巨大脓肿形成，酷似软组织肿瘤：一例报告。
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It Is Time to Focus on Asymptomatic Tuberculosis.是时候关注无症状结核病了。
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