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[膝关节反射性交感神经营养不良中骨与软骨病变的组织病理学。附16例报告]

[Histopathology of bone and cartilage lesions in reflex sympathetic dystrophy of the knee. Apropos of 16 cases].

作者信息

Arlet J, Ficat P, Durroux R, Girou de Gercourt R

出版信息

Rev Rhum Mal Osteoartic. 1981 Apr;48(4):315-21.

PMID:7256140
Abstract

In 16 cases of reflex sympathetic dystrophy of the knee, the authors obtained by drill biopsy 29 bone samples from the epiphyseal and metaphyseal regions of the femur and tibia and 8 cartilagenous samples (including 6 by arthrotomy and 2 after patellectomy). They noted thinning of the cortical bone, lacunae of cortical reabsorption, rarefaction of the trabeculae, of which some were dead, stasis and fibrosis of the bone marrow. The 8 cartilage samples were pathological, with, in particular, fibrosis of the surface cartilage (vascular pannus formation). The association of chondromalacia of the patella with an S.R.D. syndrome of the knee is frequent.

摘要

在16例膝部反射性交感神经营养不良患者中,作者通过钻孔活检从股骨和胫骨的骨骺及干骺端区域获取了29块骨样本以及8块软骨样本(包括6块通过关节切开术获取的和2块在髌骨切除术后获取的)。他们注意到皮质骨变薄、皮质骨吸收腔隙、小梁稀疏,其中一些小梁已坏死,骨髓出现淤血和纤维化。8块软骨样本均呈病理性改变,尤其是表面软骨纤维化(血管翳形成)。髌骨软化症与膝部S.R.D.综合征常同时出现。

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