多骨型畸形性骨炎一例报告

多骨型畸形性骨炎一例报告张正荣万忠巫蓉忠郭嘉秉患者男，６８岁，退休干部。１０年前，因车祸摄片才发现本病。此后最初５年内，常因头颅增大而每年更换１～２次帽子，双小腿也逐渐向内弯曲畸形。曾反复经多所大、中型医院检查，终因诊断不明而未予治疗。近５年来，仅觉...     

双侧胫骨畸形性骨炎伴下肢静脉血栓形成1例

1 病例资料 患者,女,73岁,因双下肢疼痛多年,于2009年9月9日因右下肢肿痛1周入院.患者自幼即出现权侧胫骨前侧缓慢增大、隆起,近10年渐出现双膝关节处、双侧小腿疼痛不适,1周前出现右下肢红肿疼痛.     

畸形性骨炎并发骨折一例

患者 ,男 ,5 5岁 ,主因不慎摔倒后右大腿疼痛活动受限 1h而入院。既往右大腿疼痛弯曲变形短缩。查体 :右大腿中段肿胀畸形 ,有异常活动。X线片显示 :右股骨中段骨连续中断 ,两断端骨密度增高 ,骨皮质增厚 ,骨小梁粗糙混乱 ,弯曲变形。化验血清碱性磷酸酶升高。诊断为右股骨病理     

畸形性骨炎：1例报告与综述

畸形性骨炎为骨重建异常的一种非炎症代谢性骨病,主要表现为骨痛、骨骼膨大、骨畸形和骨折。本病在国内极为罕见,其形成的主要原因尚不清楚,文献中多数认为其发生与遗传因素和环境因素相关。目前无明确诊断标准,主要依靠血碱性磷酸酶升高及特征性的影像学改变来诊断。本文报道1例畸形性骨炎的病例,结合免疫组化更加明确诊断,并通过回顾文献,着重介绍其发病机理、诊断、治疗方法,旨在为畸形性骨炎的研究与诊治提供参考。     

多发性对称性畸形性骨炎1例报告

1资料与方法 患者，男性，71岁。34岁时以头颅变形呈梭型，渐觉骨盆酸困，双侧腰腿酸痛、乏力，身高较前短缩，听力减退，脊柱后凸逐年加重。X线检查发现头颅、双颞骨、骨盆、双髂骨、髋臼、坐骨、耻骨、脊椎骨及双股骨上段骨质疏松。5a前又发现诸肋骨及双股骨上段骨质变形，胸廓变形，右粗隆间骨折，继而左股骨上段和右股骨上段均在不同时间发生病理性骨折。X线片提示整个颅骨外板出现边缘模糊的骨质疏松区，颅骨增厚，内板硬化，诸肋骨呈网格状改变，双股骨皮质骨增厚，骨髓腔界限模糊，部分髓腔消失，骨小梁粗大、稀疏不规则，密度增高，骨盆增大，髋臼内陷，盆壁增厚，双髂骨、耻骨、坐骨骨质疏松，有小透光区。脊柱后凸畸形，骨纹理粗而模糊，腰椎出现压缩性骨折。实验室检查：血、尿、便常规均正常，血清钾、钠、氯、钙离子均正常，血清蛋白电泳正常，血碱性磷酸酶明显升高（162今氏单位）。病理活检：显微镜下可见骨结构紊乱，骨小梁增宽，小梁周边富有活跃的破骨细胞和骨母细胞，骨髓由纤维结缔组织所替代，小血管丰富。     

畸形性骨炎伴多中心性骨巨细胞瘤一例

畸形性骨炎伴多中心性骨巨细胞瘤一例河北省人民医院（０５００５１）刘福成，李其云患者，女性，２５岁，农民，已婚。主诉左腿隐痛３年，近半年来加重，于１９８９年７月６日入院。体检：左胫骨中段外侧局限性隆起，有轻压痛无弹性，无静脉怒张，皮温不高。实验室检查：...     

创伤致剥脱性骨软骨炎13例

创伤致剥脱性骨软骨炎１３例奚晶，姚建祥我院自１９８８年至１９９４年４月收治创伤所致剥脱性骨软骨炎１３例，分期治疗，效果满意。现报告如下：１临床资料本组１３例，男９例，女４例。年龄１８—４２岁，平均２６．３岁。创伤分类：训练伤６例、交通伤５例、砸伤２例...     

幼年型剥脱性骨软骨炎研究进展

幼年型剥脱性骨软骨炎（JOCD）好发于男性,创伤、血供障碍及关节周围结构异常等均可能是重要致病因素。发病早期缺乏典型临床表现,易被漏诊。MRI是首选检查方法,可定位、定性地诊断并有助于分型。对于稳定型JOCD患者,保守治疗是最佳选择;对不稳定型或经保守治疗效果较差者,可采用剥离软骨片固定、软骨下骨钻孔、自体骨软骨移植及自体软骨细胞移植等手术治疗。JOCD不同于成年型剥脱性骨软骨炎,治疗方法差别明显。损伤时间和损伤部位、程度、范围等均对预后产生重要影响,早期诊断是获得良好预后的重要条件。     

关节镜治疗踝关节剥脱性骨软骨炎

目的 探讨踝关节镜下关节清理加微骨折术治疗踝关节剥脱性骨软骨炎的手术效果.方法 对11例踝关节剥脱性骨软骨炎,采用关节清理加微骨折钻孔,通过随访了解患侧踝关节疼痛、肿胀及活动度的改善情况.结果 所有患者均获得随访,平均随访时间11.5个月,术前VAS评分平均为(70.6±3.4)分,术后随访时VAS评分为(17.9±4.6)分,两者差异有统计学意义(P＜0.01);术前AOFAS踝关节功能主观评分平均为(64.3±4.7)分,术后随访时为(87.4±3.2)分,两者差异有统计学意义(P＜0.05).术后1例出现切口皮肤麻木感.结论 关节镜下清理加微骨折术治疗踝关节剥脱性骨软骨炎,具有创伤小、患者症状明显改善及手术并发症少的优点,是一种微创、有效的方法.     

骶髂关节阻滞治疗髂骨致密性骨炎报告

我科 1994年以来 ,用骶髂关节阻滞术治疗髂骨致密性骨炎 11例 ,取得满意疗效 ,现报告如下。1　临床资料1.1　一般资料　 11例中女 10例 ,男 1例 ,年龄 2 6～ 44岁 ,平均年龄 35岁 ;病程 3月～ 8年 ,平均 2 2月 ;有腰部外伤史 4例 ,女性均为经产妇 ;单侧发病 9例 ,双侧发病 2例。1.2　治疗结果　疗效标准 :痊愈 :症状、体征消失 ,恢复正常工作。好转 :症状、体征明显减轻 ,可参加轻体力劳动。无效 :症状、体征无明显减轻。结果 :痊愈 8例 ,好转 3例 ,全部有效。1.3　典型病例　患者女 ,33岁 ,孕 3产2流 1,有腰部外伤史 ,因右侧腰骶部疼痛 5年…     

Prostate cancer and coexisting incidental Paget's disease – Report on a case

Prostate cancer coexisting with asymptomatic Paget's disease (osteitisdeformans) may be difficult to stage. The skeletal lesions of both prostatecancer and Paget's disease may closely resemble each other, as appearingon imaging. A case of clinically localized prostate cancer coexisting withincidental Paget's disease is herein reported. Prostate cancer andcoexisting incidental Paget's disease both need careful evaluation and closefollow-up of the skeleton by imaging, because there is a risk of the formerinvolving the skeleton at low clinical stages and low PSA serum levels, aswell as the latter developing osteosarcoma.     

Demographic aspects of Paget's disease of bone in the Negev of southern Israel

In a mainly retrospective but partly prospective survey of the period 1968–1993 in southern Israel, 61 cases of Paget's disease of bone were identified. Fifty six percent were of non-Afro-Asian origin and 44% originated from Afro-Asia, which is approximately the inverse of the ratio in the local general population. The largest single groups from non-Afro-Asia and Afro-Asia originated, from Romania and Tunisia, respectively, and Australia and Argentina were also disproportionately prominent as countries of origin. Israel itself was the origin of few patients. All the patients were Jews except for one Bedouin Arab, which is far different from the distribution of Bedouins and Jews in both the surveyed area and the hospital population. The differences between these groups numerically and against the background local population may well have been statistically significant had the circumstances enabled greater randomness in the collection of the data analyzed. It is surmised that in southern Israel the prevalence of Paget's disease of bone is about 1%, similar to that in southern Europe.A portion of this work was presented in part fulfillment of the requirements of the MD degree of the Ben Gurion University of the Negev for H.M.     

Pathologic fracture of tibial tubercle in osteitis deformans

A case of pathologic fracture of the tibial tubercle is presented. The patella tendon was sutured back to the pathologic bone and healing occurred without further incident in eight weeks.     

Pathologic fracture of the distal femur in osteitis fibrosa cystica simulating metastatic disease

A 32-year-old woman sustained a minor sliding accident with moderate to severe pain about the left distal thigh and hip and the right shoulder. Radiographs showed marked osteopenia, multiple osteolytic bone lesions, and a pathologic fracture of the left distal femur. Surgical intervention was conducted for the pathologic fracture, and the pathological findings confirmed the diagnosis of primary hyperparathyroidism with osteitis fibrosa cystica. We report this rare case here because it may be mistaken for neoplastic metastatic disease on radiographs and bone scan. The pathologic fracture usually heals and the bone mineral density improves significantly within 6 months after parathyroidectomy.     

Tuberculosis of wrist joint in an 8-year-old child presenting as hamate osteitis: A rare case report

Tuberculosis rarely involves wrist joint and is usually diagnosed in arthritic stage. We, hereby, describe a case of TB afflicting wrist joint in a young child. To our knowledge, similar presentation has never been reported. Diagnostic dilemma became more pronounced as the radiograph presented with features of osteitis of hamate instead of a classical phemister''s triad, as is usually expected.