Meller Y, Bar-Ziv J, Goldstein J, Torok G
Acta Orthop Scand. 1982 Aug;53(4):553-6. doi: 10.3109/17453678208992256.
A rare case of avascular necrosis of bone of unknown etiology affecting several phalanges of one hand in a 12-year-old Israeli girl is presented. This entity has been described in the literature under the title of "Phalangeal microgeodic syndrome in childhood." Forty cases have been reported mostly from Japan. The clinical presentation is that of a sudden onset of chilblain-like appearance of the fingers. Characteristically, the disease occurs in the colder months of the year. The radiological picture is pathognomonic although an inexperienced observer might suspect an aggressive destructive lesion. The prognosis is excellent as the disease is a self-limited one and surgery is unnecessary.
本文报告了一例病因不明的罕见骨缺血性坏死病例，发生在一名12岁以色列女孩的一只手上的多个指骨。该病症在文献中被称为“儿童指骨微地性综合征”。大多来自日本的报道已有40例。临床表现为手指突然出现冻疮样外观。其特征是，该病在一年中较寒冷的月份发病。尽管缺乏经验的观察者可能会怀疑是侵袭性破坏性病变，但放射学表现具有特征性。由于该病是自限性的，无需手术，预后良好。
