[1]顾长源,刘 锌,谢 榆.1例局限性游走性骨质疏松症合并软骨下骨折病例报道[J].医学信息,2018,31(24):183-186.[doi:10.3969/j.issn.1006-1959.2018.24.058]
　GU Chang-yuan,LIU Xin,XIE Yu.A Case Report of Regional Migratory Osteoporosis Complicated with Subchondral Fracture[J].Journal of Medical Information,2018,31(24):183-186.[doi:10.3969/j.issn.1006-1959.2018.24.058]
点击复制

1例局限性游走性骨质疏松症合并软骨下骨折病例报道()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年24期
页码:
183-186
栏目:
出版日期:
2018-12-15

文章信息/Info

Title:
A Case Report of Regional Migratory Osteoporosis Complicated with Subchondral Fracture
文章编号:
1006-1959（2018）24-0183-04
作者:
顾长源1; 刘 锌1; 谢 榆2
江苏省中医院骨伤科1，风湿免疫科2，江苏 南京 210029
Author(s):
GU Chang-yuan1; LIU Xin1; XIE Yu2
Department of Orthopaedics1,Department of Rheumatology and Immunology2,Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing 210029,Jiangsu,China
关键词:
局限性游走性骨质疏松症; 骨髓水肿综合征; 髓芯减压; 鉴别诊断
Keywords:
Regional migratory osteoporosis; Bone marrow edema syndrome; Core decompression;  Differential diagnosis
分类号:
R681
DOI:
10.3969/j.issn.1006-1959.2018.24.058
文献标志码:
B
摘要:
局限性游走性骨质疏松是髋关节骨髓水肿综合征中一种特殊类型的“子疾病”，临床较少见。目前学界认为BMES是一种不明原因的自限性疾病，临床表现为病变骨组织的暂时性水肿。因其发病率较低且容易与临床表现类似的相关疾病混淆，近年来该病的诊断和治疗仍未有更新。本文对1例局限性游走性骨质疏松症的病例作以报道，以探讨RMO的诊断思路及骨髓水肿与不可逆性骨质破坏并存时的诊断、治疗方案。
Abstract:
Regional migratory osteoporosisis a special type of "sub-disease" in hip bone marrow edema syndrome, which is rare in clinical practice. At present, the academic community believes that BMES is an unexplained self-limiting disease, and the clinical manifestation is temporary edema of the diseased bone tissue. The diagnosis and treatment of the disease has not been updated in recent years due to its low incidence and confusion with related diseases. This article reports on a case of regional migratory osteoporosis to explore the diagnostic thinking of RMO and the diagnosis and treatment of bone marrow edema and irreversible bone destruction.

参考文献/References:

[1]Curtiss PH Jr,Kincaid WE.Transitory demineralization of the hip in pregnancy:A report of three cases[J].J Bone Joint Surg Am,1959,41(7):1327-1333.
[2]Cahir JG,Toms AP.Regional migratory osteoporosis[J].Eur J Radiol,2008,67(1):2-10.
[3]Berg BV,Malghem J,Lecouvet FE,et al.Idiopathic bone marrow edema syndrome of the femoral head:Value of MR imaging in determining spontaneous outcome[J].Radiology,1998(11):193.
[4]胡荣慧,巫北海.股骨头缺血性坏死与骨髓水肿综合症对比研究[J].国外医学临床放射学杂志,2006,29(5):331-334.
[5]Trevisan C,Ortolani S.Bone loss and recovery in regional migratory osteoporosis[J].Osteoporosis International,2002,13(11):901-906.
[6]孙伟,赵凤朝,李子荣.髋关节骨髓水肿综合征[J].中华骨科杂志,2010,30(10):991-993.
[7]Helfgott S,Tannenbaum H,Rosenthall L.Radiophosphate imaging of regional migratory osteoporosis[J].Clinical Nuclear Medicine,1979,4(8):330-332.
[8]张英,汪桦,杨金妹,等.髋关节一过性骨髓水肿综合症的临床特征和MRI表现与鉴别分析[J].中国CT和MRI杂志,2016,14(10):124-126.
[9]Fujioka M,Kubo T,Nakamura F,et al.Initial changes of non-traumatic osteonecrosis of femoral head in fat suppression images:bone marrow edema was not found before the appearance of band patterns[J].Magnetic Resonance Imaging,2001,19(7):985-991.
[10]Schapira D,Moscovici YB,Gutierrez G,et al.Severe transient osteoporosis of the hip during pregnancy.Successful treatment with intravenous biphosphonates[J].Clinical & Experimental Rheumatology,2003,21(1):107-110.
[11]Trevisan C,Ortolani S.Bone loss and recovery in regional migratory osteoporosis[J].Osteoporosis International,2002,13(11):901-906.
[12]Koo KH,Ahn IO,Song HR,et al.Increased Perfusion of the Femoral Head in Transient Bone Marrow Edema Syndrome[J].Clinical Orthopaedics and Related Research,2002(402):171-175.
[13]郭威.股骨头髓芯减压术治疗股骨近端骨髓水肿征疗效观察[J].中国伤残医学,2018,26(15):22.

更新日期/Last Update: 2019-01-09