文件痛风尿酸钠结晶诱发关节病中年至老年男性液负双折射主要原因.pdf

Case # 2 Diagnosis ? Legg-Calve-Perthes • AVN of femoral head • Progression of radiographic findings: • White males 5-8 yo – Earliest sign is joint space • 15% bila l widening (effusion) – Subchondral fissure • MRI – reased bone density – Earlier detection than – Fragmented epiphysis x-rays/nuc med – Flattened/distorted femoral – Allows assessment of head articular cartilage – Secondary OA Case # 3 Diagnosis ? Slipped Capital Femoral Epiphysis • Salter 1 fx of proximal • in fi femoral growth te – Widened physis – Decreased height of epiphysis • Posteromedial (slips posterior) dis cement of epiphysis – Malalignment of Kline’s line: line drawn through femoral • Overweight adolescent neck and epiphysis males • 20% bila l • Complications – OA after 30yo • Likely repetitive – AVN 10% microtrauma – Acute chondrolysis – Varus deformity • Tx: fixation of femoral epiphysis without reduction Case # 4 Diagnosis ? Synovial Chondromatosis • Synovial meta sia → formation of cartilaginous osteocartilaginous nodules. • Usually bodies are uniform in size. • Males 3rd –5th decade. • Knee #1, hip, shoulder, e