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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。

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