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手指先天性挛缩畸形与关节病

Congenital contractural deformities of the fingers and arthropathy.

作者信息

Martin J R, Huang S N, Lacson A, Payne R H, Bridger S, Fraser F C, Neary A J, MacLaughlin E A, Hobeika C, Lawton L J

出版信息

Ann Rheum Dis. 1985 Dec;44(12):826-30. doi: 10.1136/ard.44.12.826.

DOI:10.1136/ard.44.12.826
PMID:4083939
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1001792/
Abstract

Four patients are described who presented with congenital finger contractures and arthropathy. There was synovial cell hyperplasia and giant cells but no inflammatory process. Radiographs showed flattening of the metacarpal and metatarsal heads and the proximal femoral ossification centres. In the oldest patient the process had subsided leaving slight contractures but severe impairment of hip mobility. In another the arthropathy was still prominent in the early teens. In a third, finger contractures had failed to respond to conservative or surgical measures.

摘要

描述了4例患有先天性手指挛缩和关节病的患者。存在滑膜细胞增生和巨细胞,但无炎症过程。X线片显示掌骨头、跖骨头和股骨近端骨化中心变平。在年龄最大的患者中,病情已消退,仅遗留轻度挛缩,但髋关节活动严重受限。在另一例患者中,十几岁早期关节病仍很明显。第三例患者的手指挛缩对保守治疗或手术治疗均无反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a755/1001792/591491b2146c/annrheumd00267-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a755/1001792/be3574f4dc73/annrheumd00267-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a755/1001792/747544d42bbc/annrheumd00267-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a755/1001792/591491b2146c/annrheumd00267-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a755/1001792/be3574f4dc73/annrheumd00267-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a755/1001792/747544d42bbc/annrheumd00267-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a755/1001792/591491b2146c/annrheumd00267-0023-a.jpg

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引用本文的文献

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J Korean Med Sci. 2004 Dec;19(6):907-10. doi: 10.3346/jkms.2004.19.6.907.
2
Radiological features in congenital camptodactyly, familial arthropathy and coxa vara syndrome.
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本文引用的文献

1
Familial arthritis and camptodactyly.家族性关节炎和屈曲指
Arthritis Rheum. 1981 Sep;24(9):1199-204. doi: 10.1002/art.1780240915.
2
The distal arthrogryposes: delineation of new entities--review and nosologic discussion.远端关节挛缩症:新实体的界定——综述与疾病分类学讨论
Am J Med Genet. 1982 Feb;11(2):185-239. doi: 10.1002/ajmg.1320110208.
3
The pathology of the involved tendons in patients with familial arthropathy and congenital camptodactyly.
Arthritis Rheum. 1983 Jul;26(7):896-900. doi: 10.1002/art.1780260711.
4
Four new heritable disorders of connective tissue.四种新的遗传性结缔组织疾病。
Birth Defects Orig Artic Ser. 1975;11(6):39-51.
5
Pathologic features of a familial arthropathy associated with congenital flexion contractures of fingers.一种与先天性手指屈曲挛缩相关的家族性关节病的病理特征。
Arthritis Rheum. 1978 May;21(4):429-37. doi: 10.1002/art.1780210405.