前胸壁非创伤性关节病:一个至关重要的但经常被忽视的网站
Dorra Ben Nessib1,2,3, Hanene Lassoued Ferjani1,2,3, Fatma Majdoub1,2,3
1Department of Rheumatology, Kassab Orthopedics Institute, Ksar Saïd, Tunisia.
Current rheumatology reviews
|September 6, 2023
概括
前胸壁 (ACW) 疼痛经常被忽视. 区分骨关节炎 (OA) 和非骨关节炎 (N-OA) 前胸壁关节病对于有效治疗至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
背景情况:
- 前胸壁 (ACW) 关节病是常见的,但往往被低估的疾病.
- 区分骨关节炎 (OA) 和非骨关节炎 (N-OA) 病因对于适当的患者管理至关重要.
研究的目的:
- 描述ACW关节病在第三级护理中心的分布.
- 为了确定区分OA和N-OA的临床,生物和成像特征.
主要方法:
- 从2009年1月到2022年4月的医疗记录的回顾性审查.
- 包括通过成像 (超声波,CT或MRI) 确认的手腕胸外关节,关节关节或关节关节变化的患者.
- 根据诊断,将患者分为OA和N-OA子组.
主要成果:
- 包括108名患者 (20名OA,88名N-OA). 脊椎关节炎 (SpA) 是最常见的N-OA病因 (n=75).
- 在OA (50%) 和N-OA (18.2%) 中,ACW疼痛作为初始症状更频繁. 炎症生物标志物在N-OA中较高.
- 与OA相关的成像研究发现包括下阴道骨囊和真空现象;侵蚀与N-OA有关. 脑下骨囊预测了OA的发生.
结论:
- ACW疼痛需要更多的临床关注.
- 根据临床,生物学和成像发现,区分OA和N-OA关节病是指导治疗策略的基础.
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