Xie Y Z, Zhang X Z, Xu X H, Zhang Z X, Feng Y K
Skeletal Radiol. 1985;13(2):114-9. doi: 10.1007/BF00352081.
This paper reports 42 cases of bone and joint radiographic changes in hepatolenticular degeneration. The cases were proven clinically by ophthalmologic and laboratory study, and their radiographic and joint changes were divided into five groups: no abnormal findings, osteoporosis, osteomalacia (rickets), distinct changes, and miscellaneous. Distinct changes include marginal bone fragments, angulation of carpal bones, squaring of metacarpal heads, and calcification of the joint capsule or tendon insertion. The mechanism causing the bone changes in hepatolenticular degeneration is also discussed.
本文报告了42例肝豆状核变性的骨关节X线改变。这些病例经眼科和实验室检查临床确诊,其X线和关节改变分为五组:无异常发现、骨质疏松、骨软化(佝偻病)、明显改变和其他。明显改变包括边缘骨碎片、腕骨成角、掌骨头方形变以及关节囊或肌腱附着处钙化。本文还讨论了肝豆状核变性引起骨改变的机制。