Mall K, Zander W
Rofo. 1980 Apr;132(4):442-6. doi: 10.1055/s-2008-1056594.
X-ray changes of the small hand joints are relatively specific in haemochromatosis and are found in about 50% of cases. The main findings are irregular joint surfaces, narrowing of the joint spaces, subchondral sclerosis and small cystic changes. These affect mainly the interphalangeal and metacarpophalangeal joints. In addition, chondrocalcinosis of the large joints is a common finding. Of four patients with haemochromatosis, two had the characteristical X-Ray findings of the hands, one had marked chondrocalcinosis of the knee joints, the remaining was found to be normal. The X-ray findings and their value in diagnosis will be discussed.
小手部关节的X线改变在血色素沉着症中相对具有特异性,约50%的病例中可发现。主要表现为关节面不规则、关节间隙变窄、软骨下硬化和小囊性改变。这些主要影响指间关节和掌指关节。此外,大关节的软骨钙质沉着是常见表现。在4例血色素沉着症患者中,2例有手部特征性X线表现,1例膝关节有明显软骨钙质沉着,其余1例检查正常。将对X线表现及其诊断价值进行讨论。