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80岁之后的关节软骨钙质沉着症

[Articular chondrocalcinosis after 80 years of age].

作者信息

Memin Y, Monville C, Ryckewaert A

出版信息

Rev Rhum Mal Osteoartic. 1978 Feb;45(2):77-82.

PMID:644241
Abstract

In 108 women over 80 (mean age 88,4 years, extremes 80 and 99 years) hospitalized in a geriatric service for various reasons, radiograms were made of both knees in the frontal aspect on standard film to detect calcinosis of the meniscus and chondrocalcinosis of the joint. In 25 women (23.1%) the radiographs revealed calcinosis of the meniscus with or without chondrocalcinosis. In these 25 cases a lateral X-ray was also made of the two knees, frontal X-rays were made of the pelvis, thumbs and shoulders. In 22 cases (88%) these revealed calcification of the fibrocartilages or articular cartilages in joints other than the knee. Seven of the 25 women had at least one attack of articular inflammation (especially of the knee) resembling a pseudo-gout crisis. The frequency of chronic arthropathies resembling arthroses was high in the 25 patients with chondrocalcinosis: 8 (32%) had an internal or external femoro-tibial arthrosis, as against 11 of the 83 patients (13%) of the same age without chondrocalcinosis, a significant difference. Eleven of the 25 women had signs of femororotular arthrosis on the lateral X-rays of the knees, 5 had coxarthrosis (with in 3 cases a radiological image of fibrocartilaginous or coxofemoral cartilaginous calcification). One women had chronic radiocarpal arthropathy evocative or chondrocalcinosis. Ten had a scaphotrapezoidal arthrosis, 5 arthrosis of the shoulder, 3 with radiological aspect of glenohumeral chondrocalcinosis.

摘要

在因各种原因入住老年科的108名80岁以上女性(平均年龄88.4岁,年龄范围80至99岁)中,对其双膝进行标准胶片正位X线摄影,以检测半月板钙化和关节软骨钙质沉着症。25名女性(23.1%)的X线片显示有半月板钙化,伴或不伴有软骨钙质沉着症。在这25例病例中,还对双膝进行了侧位X线摄影,对骨盆、拇指和肩部进行了正位X线摄影。22例(88%)显示除膝关节外的其他关节纤维软骨或关节软骨钙化。25名女性中有7名至少有一次类似假性痛风发作的关节炎症(尤其是膝关节)。在25例有软骨钙质沉着症的患者中,类似骨关节炎的慢性关节病发生率很高:8例(32%)有内或外侧股胫关节骨关节炎,而83名同年龄无软骨钙质沉着症的患者中有11例(13%),差异有统计学意义。25名女性中有11名在双膝侧位X线片上有股骨髌骨关节病的征象,5名有髋关节炎(3例有纤维软骨或髋臼股骨软骨钙化的影像学表现)。1名女性有提示软骨钙质沉着症的慢性桡腕关节病。10名有舟状骨-大多角骨关节病,5名有肩关节病,3名有肱盂关节软骨钙质沉着症的影像学表现。

相似文献

1
[Articular chondrocalcinosis after 80 years of age].80岁之后的关节软骨钙质沉着症
Rev Rhum Mal Osteoartic. 1978 Feb;45(2):77-82.
2
[Chondrocalcinosis (pseudogout) of the meniscus].
Dtsch Med Wochenschr. 1979 Aug 17;104(33):1166, 1169-71. doi: 10.1055/s-0028-1129063.
3
[Symptomatic and evolutive characteristics of articular destruction noted in chondrocalcinosis].
Rev Rhum Mal Osteoartic. 1975 Apr;42(4):263-73.
4
Association of gastrocnemius tendon calcification with chondrocalcinosis of the knee.腓肠肌腱钙化与膝关节软骨钙质沉着症的关联。
Skeletal Radiol. 1996 Oct;25(7):621-4. doi: 10.1007/s002560050147.
5
[Radiographic study of the hand in 50 cases of primary articular chondrocalcinosis. Comparison with a control series of 100 subjects].[50例原发性关节软骨钙质沉着症手部的影像学研究。与100名对照受试者系列的比较]
Rev Rhum Mal Osteoartic. 1975 Jan;42(1):3-11.
6
[Radiological study of painless knees in 50 women more than 65 years old. I. Frontal teleradiography in an upright position].50名65岁以上女性无痛膝关节的放射学研究。I. 站立位的正位远距X线摄影
Rev Rhum Mal Osteoartic. 1979 Nov;46(11):589-92.
7
[Role of radiology in the diagnosis of joint chondrocalcinosis. Calcium pseudogout].
J Radiol. 1993 Nov;74(11):531-40.
8
Radiographic features of hereditary articular chondrocalcinosis. A comparative study with the sporadic type.
Clin Exp Rheumatol. 1988 Oct-Dec;6(4):369-72.
9
[Clinical manifestations of joint chondrocalcinosis].[关节软骨钙质沉着症的临床表现]
Rev Prat. 1994 Jan 15;44(2):183-8.
10
[Role of radiology in the diagnosis of joint chondrocalcinosis. The so-called atypical symptomatic aspects].[放射学在关节软骨钙质沉着症诊断中的作用。所谓的非典型症状表现]
J Radiol. 1994 Jun-Jul;75(6-7):339-61.

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Prevalence of articular chondrocalcinosis in elderly subjects in a rural area of Catalonia.加泰罗尼亚农村地区老年人群关节软骨钙质沉着症的患病率
Ann Rheum Dis. 1993 Jun;52(6):418-22. doi: 10.1136/ard.52.6.418.
2
Pyrophosphate arthropathy in the carpal and metacarpophalangeal joints.腕关节和掌指关节的焦磷酸关节病
Ann Rheum Dis. 1983 Dec;42(6):626-30. doi: 10.1136/ard.42.6.626.
3
Proceedings of a symposium on crystal-related arthropathies. 22 October and 23 October, 1982, Bristol Polytechnic, Bristol.晶体相关性关节病研讨会会议记录。1982年10月22日和23日,于布里斯托尔的布里斯托尔理工学院召开。
Ann Rheum Dis. 1983 Aug;42 Suppl 1(Suppl 1):1-114. doi: 10.1136/ard.42.suppl_1.1-a.
4
Pathology of articular deposition of calcium salts and their relationship to osteoarthrosis.关节内钙盐沉积的病理学及其与骨关节炎的关系。
Ann Rheum Dis. 1983 Aug;42 Suppl 1(Suppl 1):19-26. doi: 10.1136/ard.42.suppl_1.19.