在关节性手腕的关节外延伸的突性脂质瘤:一个意想不到的诊断
Rebecca L R Miller1, Elsa K Donaldson, Jennifer L Giuffre
1From the Section of Plastic Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Annals of plastic surgery
|April 30, 2024
概括
突性脂质瘤症是一种罕见的关节脂肪组织生长的疾病,可以影响手腕. 这一案例突出了泛手腕关节炎异常的关节外表现,强调了其模仿其他手腕病理的潜力.
科学领域:
- 整形外科 整形外科 整形外科
- 病理学 病理学 病理学
- 放射学 放射学是一门学科.
背景情况:
- 突性脂质瘤症涉及关节突组织中的异常脂肪细胞增殖,通常会影响膝关节的关节内.
- 手腕的关节外突性脂质瘤异常罕见,之前只有五例病例报告.
- 手腕关节病可以出现炎症性软组织胀,可能掩盖潜在的疾病.
研究的目的:
- 报告一个独特的突性脂质瘤病例,涉及手腕外关节延伸.
- 讨论这种罕见疾病的诊断挑战和临床影响.
- 为了突出第一个记录下来的手腕突性脂质瘤病例,与泛手腕关节炎一起涉及关节外的参与.
主要方法:
- 一个案例研究,一个60多岁的病人出现了手腕关节病变和胀.
- 放射性评估显示了手腕关节炎和软组织炎症.
- 手术切除脂肪质透到延伸器隔间,然后进行组织病理学诊断.
主要成果:
- 组织病理学证实了手腕的突性脂质瘤与关节外延伸.
- 患者经历了成功的手腕融合和Darrach手术,在大体切除后.
- 手术后恢复显示了手腕融合的临床和放射性愈合,疼痛有所改善,没有复发.
结论:
- 突性脂质瘤是一种罕见的疾病,可以模仿各种手腕病理.
- 在老年患者中,它可能是退行性关节疾病或创伤的次要症状.
- 这一病例代表了在泛手腕关节炎的背景下,首次描述了手腕突触性脂质瘤与关节外延伸.
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