肩部褐黄病性关节病——一例罕见病例报告
Ochronotic Arthropathy of the Shoulder - A Rare Case Report.
作者信息
Nair Ayyappan V, V Kiran, Rajan Aravind, Ms Bharath Bharadwaj, Daware Manisha Ashwin, Khan Prince Shanavas
机构信息
Department of Orthopaedics, Manipal Hospital, Whitefield, Bangalore ,560066. India.
Department of Orthopaedics, Malathi Manipal Hospital, 45th Cross Rd, Opp. Bangalore, Kottapalya, 9th Block, Jayanagar, Bengaluru, Karnataka 560069, India.
出版信息
J Orthop Case Rep. 2025 Jan;15(1):90-93. doi: 10.13107/jocr.2025.v15.i01.5136.
INTRODUCTION
Alkaptonuria is a metabolic disorder due to accumulation of homogentisic acid, leading to destruction of major joints. Very few cases of ochronosis with shoulder involvement have been reported in literature.
CASE REPORT
We report a 31-year-old male who presented with shoulder pain for 4 months. Clinical examination and magnetic resonance imaging showed tear of the long head of biceps tendon and labral tear. On arthroscopy, we discovered that there was blackish discoloration of the glenoid rim. On investigating further, homogentisic aciduria was found (865; normal value <0.99), suggesting a diagnosis of alkaptonuria. Our patient had relief of symptoms following debridement and biceps tenodesis at 12 weeks.
CONCLUSION
Arthroscopy helps in the diagnosis and treatment of ochronosis with shoulder involvement.
引言
黑尿症是一种由于尿黑酸积累导致的代谢紊乱疾病，会致使主要关节遭到破坏。文献中报道的累及肩部的褐黄病病例极少。
病例报告
我们报告一例31岁男性，其肩部疼痛4个月。临床检查和磁共振成像显示肱二头肌长头肌腱撕裂和盂唇撕裂。关节镜检查时，我们发现肩胛盂边缘有黑色变色。进一步检查发现尿黑酸尿症（865；正常值<0.99），提示诊断为黑尿症。我们的患者在12周进行清创和肱二头肌固定术后症状缓解。
结论
关节镜检查有助于诊断和治疗累及肩部的褐黄病。
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