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类风湿性髋关节的髂腰肌滑囊。病例报告及文献综述。

Iliopsoas bursa of the rheumatoid hip joint. A case report and review of the literature.

作者信息

Kataoka M, Torisu T, Nakamura M, Uchida K

机构信息

Department of Orthopedic Surgery, Oita Medical University, Japan.

出版信息

Clin Rheumatol. 1995 May;14(3):358-64. doi: 10.1007/BF02208355.

Abstract

Presented is the case of a 63-year-old woman, with a 30-year history of rheumatoid arthritis, whose hip was completely destroyed and accompanied with enlargement of the iliopsoas bursa. Preoperative diagnosis was confirmed by computed tomography, magnetic resonance (MR) imaging and arthrography. She was treated by resection of the iliopsoas bursa and total prosthetic replacement of the hip joint. The pathogenesis is uncertain. In the literature, enlargement of the iliopsoas bursa with rheumatoid arthritis, osteoarthritis, pigmented villonodular synovitis, and synovial chondromatosis had been reported. Nevertheless, a correct preoperative diagnosis of the enlargement of the iliopsoas bursa is very difficult. MR imaging with enhanced Gadolinium-DTPA (Gd-DTPA) is proposed as the most useful examination for preoperative diagnosis.

摘要

本文介绍了一位63岁女性的病例,她有30年类风湿关节炎病史,其髋关节已完全破坏,并伴有髂腰肌滑囊增大。术前诊断通过计算机断层扫描、磁共振成像和关节造影得以证实。她接受了髂腰肌滑囊切除术和髋关节全假体置换术。发病机制尚不确定。文献中曾报道过类风湿关节炎、骨关节炎、色素沉着绒毛结节性滑膜炎和滑膜软骨瘤病伴发髂腰肌滑囊增大的情况。然而,术前正确诊断髂腰肌滑囊增大非常困难。建议使用钆喷酸葡胺(Gd-DTPA)增强磁共振成像作为术前诊断最有用的检查方法。

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