[钙化性滑囊炎——一种常被忽视且误诊的手部疾病]
[Bursitis calcarea--an often overlooked and falsely diagnosed illness of the hand].
作者信息
Balogh B, Piza-Katzer H, Kosak D
机构信息
Abteilung für Plastische and Wiederherstellungschirurgie, Ludwig Boltzmann Institut für Qualitätssicherung in der Plastischen and Wiederherstellungschirurgie, Wien.
出版信息
Z Orthop Ihre Grenzgeb. 1997 Nov-Dec;135(6):539-42. doi: 10.1055/s-2008-1039742.
OBJECTIVE
To compare surgical and conservative management in patients with acute calcific bursitis of the hand, a rare condition often misdiagnosed because of its unspecific symptoms.
METHOD
Four patients with calcific bursitis at the metacarpophalangeal or distal interphalangeal joints or the pisiform are presented. Of these, 3 underwent surgery, while one was treated conservatively. Clinical and radiological symptoms and signs are described.
RESULTS
The 3 patients treated surgically returned to work on the 10th postoperative day, while the patient who refused surgery needed rehabilitation for 4 weeks.
CONCLUSION
Surgery to remove the calcium deposits enables patients to resume work earlier than after conservative treatment which may take weeks.
目的
比较手部急性钙化性滑囊炎患者手术治疗与保守治疗的效果，这种罕见病症常因其非特异性症状而被误诊。
方法
报告4例掌指关节、远侧指间关节或豌豆骨钙化性滑囊炎患者。其中3例接受手术治疗，1例接受保守治疗。描述了临床和放射学症状及体征。
结果
3例接受手术治疗的患者术后第10天恢复工作，而拒绝手术的患者需要4周康复治疗。
结论
手术切除钙沉积物可使患者比保守治疗（可能需要数周时间）更早恢复工作。
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