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髋关节 rice 体滑囊炎合并髋关节发育不良及骨盆骨折:1 例报告。

Hip joint rice body bursitis combined with hip dysplasia and pelvic fracture: a case report.

机构信息

Department of Joint and Sports Medicine, The Affiliated Hospital of Jining Medical University, 89 Guhuai Road, Jining, Shandong, 272029, PR China.

Department of Pathology, The Second People's Hospital of Jining, Jining, Shandong, 272049, PR China.

出版信息

BMC Musculoskelet Disord. 2024 Oct 21;25(1):831. doi: 10.1186/s12891-024-07962-5.

Abstract

BACKGROUND

Rice body formation is an uncommon, nonspecific inflammatory process. Certain clinical features, such as chronic synovitis associated with rheumatoid arthritis, tuberculous arthritis, and osteoarthritis, can induce a non-specific response that may lead to the development of rice bodies. Currently, the etiological and prognostic significance of rice bodies remains unknown. Magnetic resonance imaging (MRI) is the preferred diagnostic imaging modality for evaluating rice body formation.

CASE PRESENTATION

The patient, a 44-year-old female, presented with bursitis of the hip joint and the presence of numerous rice bodies. This case is exceptionally rare and unusual as it involves a combination of hip dysplasia and pelvic fracture. The patient underwent a one-stage resection of the rice body, internal fixation of the acetabular fracture, and two-stage total hip arthroplasty, resulting in an immediate improvement in her symptoms. We reviewed the relevant literature and observed that the majority of rice bodies were predominantly found within the capsules of the shoulder and knee joints, while instances of hip joint rice body bursitis were relatively infrequent. To our knowledge, there have been no previous reports documenting a case of hip joint rice body bursitis in conjunction with hip dysplasia and pelvic fracture.

CONCLUSION

This paper presents the rare case of hip joint rice body bursitis combined with hip dysplasia and pelvic fracture, and is one of the highlights.

摘要

背景

类风湿关节炎、结核性关节炎和骨关节炎等某些临床特征可引起非特异性炎症反应,导致类风湿关节炎、结核性关节炎和骨关节炎等疾病发生。目前,尚不清楚类风湿关节炎、结核性关节炎和骨关节炎等疾病发生的病因和预后意义。磁共振成像(MRI)是评估类风湿关节炎、结核性关节炎和骨关节炎等疾病发生的首选影像学诊断方法。

病例介绍

患者为 44 岁女性,表现为髋关节滑囊炎和大量类风湿关节炎、结核性关节炎和骨关节炎的存在。这种情况非常罕见和不寻常,因为它涉及髋关节发育不良和骨盆骨折的组合。患者接受了类风湿关节炎、结核性关节炎和骨关节炎等疾病的一期类风湿关节炎、结核性关节炎和骨关节炎等疾病的切除、髋臼骨折的内固定以及两期全髋关节置换术,症状立即得到改善。我们复习了相关文献,发现大多数类风湿关节炎、结核性关节炎和骨关节炎等疾病的类风湿关节炎、结核性关节炎和骨关节炎等疾病主要发生在肩部和膝关节的囊内,而髋关节类风湿关节炎、结核性关节炎和骨关节炎等疾病的类风湿关节炎、结核性关节炎和骨关节炎等疾病则相对少见。据我们所知,以前没有报道过髋关节类风湿关节炎、结核性关节炎和骨关节炎等疾病的髋关节类风湿关节炎、结核性关节炎和骨关节炎等疾病与髋关节发育不良和骨盆骨折同时发生的病例。

结论

本文报道了髋关节类风湿关节炎、结核性关节炎和骨关节炎等疾病的髋关节类风湿关节炎、结核性关节炎和骨关节炎等疾病与髋关节发育不良和骨盆骨折同时发生的罕见病例,这是本文的一个亮点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a538/11492510/bc51efb7012c/12891_2024_7962_Fig1_HTML.jpg

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本文引用的文献

1
MRI diagnosis of right shoulder-joint rice-body bursitis: A case report.
Asian J Surg. 2024 Jul;47(7):3117-3118. doi: 10.1016/j.asjsur.2024.02.144. Epub 2024 Mar 4.
2
Wrist rice-body bursitis in a patient without rheumatism and tuberculosis.
Asian J Surg. 2024 Jun;47(6):2860-2861. doi: 10.1016/j.asjsur.2024.02.011. Epub 2024 Feb 19.
5

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