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肩部色关节病 - - 一个罕见的病例报告
Ayyappan V Nair1, Kiran V1, Aravind Rajan1
1Department of Orthopaedics, Manipal Hospital, Whitefield, Bangalore ,560066. India.
Journal of orthopaedic case reports
|January 13, 2025
概括
阿尔卡普顿,一种罕见的代谢障碍,可以导致肩关节的. 这一案例突出了关节镜诊断和成功的手术治疗肩膀色症在一个患有alkaptonuria的病人.
科学领域:
- 整形外科 整形外科 整形外科
- 代谢障碍 代谢障碍 代谢障碍
- 遗传学 遗传学 是一个
背景情况:
- 阿尔卡普顿尿症是一种罕见的遗传代谢障碍.
- 它是由同质性酸的积累引起的,导致关节的破坏 (ochronosis).
- 很少有人报告肩膀参与色症.
研究的目的:
- 报告一个带有肩膀疼痛的囊尿病例.
- 为了说明关节镜在肩膀色症中的诊断和治疗作用.
主要方法:
- 一名31岁的男性出现了慢性肩部疼痛.
- 进行了临床检查,MRI和关节镜检查.
- 实验室测试证实了同质性酸性尿.
主要成果:
- 关节镜检查显示了状腺边缘的黑色变色,表明了色.
- 同源性酸性尿症显著升高 (865;正常<0.99).
- 患者经历了关节镜脱bridement和双肩化后的症状缓解.
结论:
- 关节镜检查对于诊断和治疗肩膀色病非常有价值.
- 这一案例强调了在患有无法解释的关节病理的患者中考虑alkaptonuria的重要性.
- 手术干预可以有效地管理与阿尔卡普托努里亚相关的色病的肩部症状.
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