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沉积病和神经源性关节病的影像学检查方法

Imaging approach to deposition and neurogenic arthropathies.

作者信息

Cuervo Arevalo Ricardo, Aluja-Jaramillo Felipe, Corredor Carlos, Ramirez Juan José

机构信息

Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Carrera 7 No 40 - 62, 110231, Bogotá, Colombia.

出版信息

Jpn J Radiol. 2025 Mar;43(3):365-378. doi: 10.1007/s11604-024-01677-2. Epub 2024 Nov 2.

Abstract

Deposition arthropathies are a heterogeneous group of diseases in which organic and inorganic substances accumulate in different regions of the body with significant complications and morbidity. Although they are clearly distinct entities, the clinical manifestations are similar, so that joint evaluation by imaging provides a more accurate diagnostic approach by identifying findings characteristic of certain pathologies and is considered the gold standard in certain conditions. However, neuropathic arthropathy, especially Charcot's foot, is an essential differential diagnosis in the joint evaluation of these patients because, although clinically similar, it manifests differently on radiological evaluation, with different treatment and prognosis. It is essential to know the main findings of the different imaging modalities, as well as their surgical performance, to propose the ideal study and differentiate these conditions with certainty.

摘要

沉积性关节病是一组异质性疾病,其中有机和无机物质在身体的不同部位积聚,会引发严重并发症和发病率。尽管它们是明显不同的疾病实体,但临床表现相似,因此通过影像学进行关节评估可通过识别某些病理特征性表现提供更准确的诊断方法,在某些情况下被视为金标准。然而,神经性关节病,尤其是夏科氏足,在这些患者的关节评估中是重要的鉴别诊断,因为尽管临床症状相似,但在影像学评估中表现不同,治疗和预后也不同。了解不同影像学检查方法的主要表现及其手术表现,对于提出理想的检查并准确鉴别这些疾病至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ba/11868310/47fdf349b579/11604_2024_1677_Fig1_HTML.jpg

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