Bonavita J A, Dalinka M K
Skeletal Radiol. 1980 Apr;5(2):105-8. doi: 10.1007/BF00347330.
The radiographic manifestations of renal osteodystrophy may be articular as well as osseous. The latter are well recognized, i.e., subperiosteal and subchondral bony resorption. Recently attention has been directed to the occurrence of an erosive arthritis of the hands and wrists in hyperparathyroidism. The authors present six patients with humeral head erosions, all of whom were on chronic long-term hemodialysis. These intra-articular erosions occurred at the "bare" area of the humeral head and thus represent an erosive arthritis and therefore can be distinguished from the usual sites of subchondral and subperiosteal bony resorption seen in hyperparathyroidism.
肾性骨营养不良的影像学表现可能累及关节和骨骼。后者已广为人知，即骨膜下和软骨下骨质吸收。最近，甲状旁腺功能亢进症患者手部和腕部侵蚀性关节炎的发生受到了关注。作者报告了6例肱骨头侵蚀患者，他们均接受长期慢性血液透析。这些关节内侵蚀发生在肱骨头的“裸区”，因此代表一种侵蚀性关节炎，从而可与甲状旁腺功能亢进症中常见的软骨下和骨膜下骨质吸收部位相区分。
