髋关节米体滑囊炎合并髋关节发育不良和骨盆骨折:病例报告。

IF 2.2 3区 医学 Q2 ORTHOPEDICS BMC Musculoskeletal Disorders Pub Date : 2024-10-21 DOI:10.1186/s12891-024-07962-5
Jichao Bian, Yang Liu, Ke Tian, Haiyi Zheng, Long Yuan, Xiaowei Zhao, Yuanmin Zhang, Guodong Wang
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引用次数: 0

摘要

背景:米粒体的形成是一种不常见的非特异性炎症过程。某些临床特征,如与类风湿性关节炎、结核性关节炎和骨关节炎相关的慢性滑膜炎,可诱发非特异性反应,从而导致米粒体的形成。目前,米粒体的病因和预后意义尚不清楚。磁共振成像(MRI)是评估米粒体形成的首选诊断成像方式:患者是一名 44 岁的女性,髋关节滑囊炎并伴有大量米粒体。由于该病例合并髋关节发育不良和骨盆骨折,因此异常罕见。患者接受了一期米粒体切除术、髋臼骨折内固定术和两期全髋关节置换术,症状立即得到改善。我们查阅了相关文献,发现大多数米粒体主要出现在肩关节和膝关节的关节囊内,而髋关节米粒体滑囊炎的病例相对较少。据我们所知,此前还没有关于髋关节米粒体滑囊炎合并髋关节发育不良和骨盆骨折病例的报道:本文介绍了一例罕见的髋关节米体囊炎合并髋关节发育不良和骨盆骨折的病例,是本文的亮点之一。
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Hip joint rice body bursitis combined with hip dysplasia and pelvic fracture: a case report.

Background: Rice body formation is an uncommon, nonspecific inflammatory process. Certain clinical features, such as chronic synovitis associated with rheumatoid arthritis, tuberculous arthritis, and osteoarthritis, can induce a non-specific response that may lead to the development of rice bodies. Currently, the etiological and prognostic significance of rice bodies remains unknown. Magnetic resonance imaging (MRI) is the preferred diagnostic imaging modality for evaluating rice body formation.

Case presentation: The patient, a 44-year-old female, presented with bursitis of the hip joint and the presence of numerous rice bodies. This case is exceptionally rare and unusual as it involves a combination of hip dysplasia and pelvic fracture. The patient underwent a one-stage resection of the rice body, internal fixation of the acetabular fracture, and two-stage total hip arthroplasty, resulting in an immediate improvement in her symptoms. We reviewed the relevant literature and observed that the majority of rice bodies were predominantly found within the capsules of the shoulder and knee joints, while instances of hip joint rice body bursitis were relatively infrequent. To our knowledge, there have been no previous reports documenting a case of hip joint rice body bursitis in conjunction with hip dysplasia and pelvic fracture.

Conclusion: This paper presents the rare case of hip joint rice body bursitis combined with hip dysplasia and pelvic fracture, and is one of the highlights.

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来源期刊
BMC Musculoskeletal Disorders
BMC Musculoskeletal Disorders 医学-风湿病学
CiteScore
3.80
自引率
8.70%
发文量
1017
审稿时长
3-6 weeks
期刊介绍: BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.
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