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Carpal instability in rheumatoid arthritis and calcium pyrophosphate deposition disease. Pathogenesis and roentgen appearance.

作者信息

Resnick D, Niwayama G

出版信息

Ann Rheum Dis. 1977 Aug;36(4):311-8. doi: 10.1136/ard.36.4.311.

DOI:10.1136/ard.36.4.311
PMID:901029
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1006691/
Abstract

The roentgen appearance and pathogenesis of carpal instability are described in an evaluation of patients and cadavers with rheumatoid arthritis and calcium pyrophosphate deposition disease. Dorsiflexion (16%) and palmar flexion (8%) instability occurs in rheumatoid arthritis, particularly in patients with moderate to advanced disease. Navicular-lunate dissociation frequently accompanies dorsiflexion instability and results from involvement of the interosseous ligament between the two bones by rheumatoid pannus. Carpal instability and navicular-lunate dissociation also accompany pyrophosphate arthropathy, resulting from calcific deposition and cystic degeneration of ligamentous structures.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/a5089c761977/annrheumd00041-0026-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/f74b1420594f/annrheumd00041-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/2e3e7276aa56/annrheumd00041-0021-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/50cb42d68143/annrheumd00041-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/f9ac65ad8fec/annrheumd00041-0022-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/65a62bf793dc/annrheumd00041-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/5e1e1896f544/annrheumd00041-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/c12194d526c4/annrheumd00041-0024-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/9708c016fb2d/annrheumd00041-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/09dafe0525c8/annrheumd00041-0025-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/592f1e5c0d3c/annrheumd00041-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/a5089c761977/annrheumd00041-0026-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/f74b1420594f/annrheumd00041-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/2e3e7276aa56/annrheumd00041-0021-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/50cb42d68143/annrheumd00041-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/f9ac65ad8fec/annrheumd00041-0022-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/65a62bf793dc/annrheumd00041-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/5e1e1896f544/annrheumd00041-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/c12194d526c4/annrheumd00041-0024-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/9708c016fb2d/annrheumd00041-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/09dafe0525c8/annrheumd00041-0025-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/592f1e5c0d3c/annrheumd00041-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04e/1006691/a5089c761977/annrheumd00041-0026-b.jpg

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引用本文的文献

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Skeletal Radiol. 2017 Dec;46(12):1615-1623. doi: 10.1007/s00256-017-2676-8. Epub 2017 Jun 3.
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本文引用的文献

1
THE PATTERN OF RHEUMATOID ARTHRITIS IN THE HAND AND WRIST.手部和腕部类风湿关节炎的模式
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Rheumatoid wrists: cineradiography.
Radiology. 1967 Mar;88(3):543-9. doi: 10.1148/88.3.543.
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Cineradiography in normal and abnormal wrists.正常和异常手腕的动态X线摄影
Am J Roentgenol Radium Ther Nucl Med. 1966 Apr;96(4):837-44. doi: 10.2214/ajr.96.4.837.
Understanding carpal instability: a radiographic perspective.
理解腕关节不稳：影像学视角
Skeletal Radiol. 2016 Aug;45(8):1031-43. doi: 10.1007/s00256-016-2390-y. Epub 2016 Apr 16.
4
The role of MDCT arthrography in the follow-up of scapholunate stabilisation.MDCT 关节造影术在舟月骨稳定性重建术后随访中的作用。
Radiol Med. 2013 Oct;118(7):1157-70. doi: 10.1007/s11547-013-0949-4. Epub 2013 Jun 25.
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Effectiveness of four-corner arthrodesis with use of a locked dorsal circular plate.四角融合术结合使用锁定背侧环型板的疗效。
Clin Orthop Relat Res. 2012 Oct;470(10):2764-70. doi: 10.1007/s11999-012-2312-9. Epub 2012 Mar 20.
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Carpal instability.腕关节不稳
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Case report 456: Scaphoid-trapezium-trapezoid dissociation in pyrophosphate arthropathy of the wrist.病例报告456：腕部焦磷酸关节病中的舟状骨-大多角骨-小多角骨分离
Skeletal Radiol. 1987;16(8):685-7. doi: 10.1007/BF00357122.
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The wrist in rheumatoid arthritis. Surgical treatment and results.类风湿关节炎中的腕关节。手术治疗及结果。
J Bone Joint Surg Am. 1969 Jan;51(1):1-20.
5
The zig-zag deformity in the rheumatoid hand.类风湿性手部的锯齿状畸形。
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Malposition of carpal bones in rheumatoid arthritis.
Radiology. 1972 Apr;103(1):95-8. doi: 10.1148/103.1.95.
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Traumatic instability of the wrist. Diagnosis, classification, and pathomechanics.腕部创伤性不稳定。诊断、分类及病理力学
J Bone Joint Surg Am. 1972 Dec;54(8):1612-32.
8
The wrist arthropathy of "pseudogout" occurring with and without chondrocalcinosis.伴有或不伴有软骨钙质沉着症的“假性痛风”腕关节病。
Radiology. 1974 Dec;113(3):633-41. doi: 10.1148/113.3.633.
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Bone fragmentation in the rheumatoid wrist: radiographic and pathologic considerations.
Radiology. 1975 Feb;114(2):315-21. doi: 10.1148/114.2.315.
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Inter-relationship between radiocarpal and metacarpophalangeal joint deformities in rheumatoid arthritis.
J Can Assoc Radiol. 1976 Mar;27(1):29-36.