双边基恩博克病:与人口,系统和放射学发现的关联
Andrew F Emanuels1, Jess Rames1, Mehmet Furkan Tunaboylu1
1Mayo Clinic, Rochester, MN, USA.
概括
双边基恩博克病很罕见,影响2.9%的患者. 虽然其原因尚不清楚,但外科医生应考虑在患有双边无血管瘤的患者中考虑高凝血和炎症状况.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 放射学 放射学是一门学科.
背景情况:
- 基恩博克病的特征是月经的无血管亡,通常影响一个手腕.
- 双边呈现不常见,需要对潜在的风险因素和自然史进行调查.
研究的目的:
- 为了描述Kienböck病的自然史.
- 为了确定与双边Kienböck病的发展相关的风险因素.
主要方法:
- 350名经过手术管理的基恩博克病患者 (1976-2023) 的回顾性审查.
- 收集人口统计,临床和放射数据.
- 使用t测试和费舍尔精确测试进行统计分析.
主要成果:
- 10名患者 (2.9%) 呈现双边基恩博克病.
- 没有发现与自身免疫性疾病,皮质类固醇使用或重型手工劳动有重大关联.
- 与单边病例相比,双边病例 (72.2%),但在统计学上不显著.
结论:
- 双边基恩博克病的病因仍然难以捉摸.
- 过度凝血和炎症状况可能会影响血栓形成,导致血管缩.
- 在患有并发症的患者中,对双边疾病的高度怀疑是合理的;对于无症状患者,不建议进行常规的 contralateral 查.
相关概念视频
Chronic Kidney Disease II: Clinical Manifestations
104
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
104
Mitral Stenosis II: Clinical features and Diagnostic Tests
39
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
39
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
38
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
38
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
67
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
67
Endocarditis II: Clinical Features of Infective Endocarditis
28
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
28
Imaging Studies for Cardiovascular System III: X-Ray
300
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
300


