一个患有类风湿性关节炎的患者多焦点应力骨折
Edwin Yuen Hao Tong1, Seok Jun Jeong2, Mohamed Zubair Farook3
1NHS Grampian, Aberdeen, UK edwin.tong@nhs.scot.
BMJ case reports
|January 30, 2024
概括
在风湿性关节炎患者中,不足压力骨折可能发生,模仿其他疾病. 早期的MRI扫描对于诊断高危人群多焦点应激骨折至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
背景情况:
- 压力骨折通常与像跑步这样的重复活动有关.
- 然而,不足压力骨折可能会影响具有风险因素的患者,包括类风湿性关节炎.
- 诊断压力骨折可能具有挑战性,因为症状模仿其他肌肉骨问题.
研究的目的:
- 突出考虑具有危险因素的患者多焦点应激骨折的重要性.
- 强调磁共振成像 (MRI) 在诊断这些骨折中的实用性.
主要方法:
- 一个60多岁的女性双边膝盖和脚疼痛的案例研究.
- 最初的临床评估和普通放射.
- 随后进行MRI扫描,以调查持续的症状.
主要成果:
- 最初的评估表明骨关节炎或炎症性关节炎.
- 核磁共振扫描显示了膝盖,脚和脚部的多焦点应力骨折.
- 患者的症状归因于这些以前未被诊断的骨折.
结论:
- 临床医生应考虑在患有风险因素的患者中进行多焦点应激骨折.
- 为了准确诊断,建议进行MRI扫描的门较低.
- 早期和准确的诊断可以预防并发症并改善患者的结果.
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