关节突节性肌肉病 - - 对37名患者的评估
Machoň Vladimír1, Vlachopulos Vasilis1, Hirjak Dušan1
1Department Oral Maxillofacial Surgery, Faculty Hospital Prague Prague, Charles University, Prague U Nemocnice 2 str, Prague 2, Staré Město, 128 08, Czech Republic.
Oral and maxillofacial surgery
|June 27, 2024
概括
突性软骨炎 (SC) 主要引起疼痛,最好用MRI诊断,特别是在早期阶段. 治疗是成功的,复发率低,但建议进行彻底的随访.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 突性软骨炎 (SC) 是一种罕见的疾病,其特点是关节内形成软骨性结节.
- 准确的诊断和有效的管理对于患者的治疗结果至关重要.
研究的目的:
- 在37名患者的队列中评估突性肌肉病的临床特征,诊断方法和治疗结果.
- 评估复发的发生率,并建立最佳的后续方案.
主要方法:
- 在2013年至2022年间,对37名组织学确认的SC患者进行了回顾性分析.
- 评估SC局部,临床症状,诊断成像 (包括MRI和X射线) 和治疗方式 (关节镜检查,开放手术).
- 使用米尔格拉姆标准进行组织病理学分类,并评估复发率.
主要成果:
- 在86.4%的患者中,疼痛是主要症状.
- SC主要影响上部关节空间 (83.7%).
- 磁共振成像 (MRI) 证明对诊断SC至关重要,特别是在早期的米尔克拉姆阶段 (1和2),X射线是负的.
- 治疗成功率为89.2%,复发率为10.8%.
结论:
- 疼痛是SC的主要临床表现.
- 核磁共振是SC诊断的基础,检测早期的疾病和微妙的发现.
- 推的随访包括在手术后的特定时间间隔进行临床和MRI评估,以监测复发,尽管不频繁.
相关概念视频
Development of the Limb Synovial Joints
1.3K
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
1.3K
Knee Joint
1.7K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.7K
Appendicitis-II: Diagnostic Studies and Management
74
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
74
Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K


