DeVine J H, Rooney R C, Carpenter C, Pitcher J D
Department of Orthopaedics, Madigan Army Medical Center, Tacoma, Washington, USA.
Am J Orthop (Belle Mead NJ). 1997 Mar;26(3):223-5.
We report a case of dysplasia epiphysealis hemimelica in an 87-year-old woman, the oldest patient, to our knowledge, who has presented with symptoms from this disease. Whereas the classic presentation is marked by painless swelling and/or deformity, our patient was found to be diffusely tender without effusion or gross deformity. Plain radiographs showed severe degenerative changes in her right knee with loss of joint space and osteophyte formation, along with an intra-articular osteochondroma. The intra-articular osteochondroma was removed, and an arthroplasty was performed without complication and with full relief of symptoms.
我们报告了一例87岁女性的半侧肢体骨骺发育异常病例，据我们所知，她是出现该疾病症状的年龄最大的患者。典型表现为无痛性肿胀和/或畸形，而我们的患者表现为弥漫性压痛，无积液或明显畸形。X线平片显示其右膝有严重的退行性改变，关节间隙变窄和骨赘形成，同时还有关节内骨软骨瘤。关节内骨软骨瘤被切除，随后进行了关节置换术，未出现并发症，症状完全缓解。
