先天发育性（骨）关节病——关节病的新概念

目的：关节病的传统概念其病因是获得性的或由后天继发因素所致，本文提出先天发育性（骨）关节病的概念。材料与方法：本组通过对成骨不全（６例），Ｍａｒｆａｎ综合征（４例），粘多糖病（８例），多发骨骺发育异常（２２例），致密性骨发育不全（２例），干骺软骨发育异常（４例），石骨症（３例），遗传性多发外生骨疣（６例），内生软骨瘤病（４例），Ｍａｆｆｕｃｃｉ病（２例），Ｍａｆｆｕｃｃｉ病（２例），系统性骨纤维发

Congenital Developmental (Osteo) Arthropathy: A New Conception of Arthropathy

Objective: To introduce a new conception of arthropathy. A traditional conception of arthropathy is that the cause of joint disease are acquired or secondary.Materials and Methods:256 films of 66 patient with dysplasia of bone including: Osteogenesis imperfecta (n=6), Marfan syndrome (n=4), mucopolysaccharidoses (n=8), multiple epiphyseal dysplasia (n=22), pycnodysostosis (n=2), metaphyseal chondrodysplasia (n=4), osteopetrosis (n=3), hereditary multiple exostosis (n=6), enchondromatosis (n=4), maffucci disease (n=2), systemic fibrous dysplasia (n=4), and myositis ossificans progressive (n=1) were studied and compared with their clinical appearances retrospectively.Results:The results show that these patients diagnosed as osteodysplasia also have the abnormal shapes of articular faces, disordered structures and functions of joints. Moreover, their clinical manifestations were appeared before 40 year old (30 years).Conclusion: The arthropathy ought to be divided into two types: Congenital and acquired.