摘要
目的分析肩关节夏科氏(Charcot)关节误诊原因并探讨其诊断方法。方法回顾3例肩关节Charcot关节误诊原因,结合文献提出诊断方法。结果3例中误诊为结核1例,误诊为滑膜肉瘤1例,误诊为创伤性关节炎1例。3例均有Chiari畸形I型。结论缺乏仔细的体格检查和必要的辅助检查,是导致误诊的主要原因。对于关节明显破坏而疼痛轻微且合并神经系统病变的患者,应高度怀疑Charcot关节。
Objective To analyse the causes of misdiagnosis of Charcot joint of the shoulder and find some methods of diagnosis. Methods Analysing 3 causes of misdiagnosis in Charcot joint of the shoulder and putting forward some methods of diagnosis according to the literatures. Results 3 patients were misdiagnosis： the first was misdiagnosed as tuberculosis ; the second was misdiagnosed as synoviosarcoma; the third was misdiagnosed as traumatic arthritis. All of them were Ⅰ type of Chiari malformation. Conclusions Lack of experience, detailed examination and careful observation of the X-ray, CT and MRI were the causes of misdiagnosis. In those patients with severe breakage in joint and without pain, especially with neural diseases, the diagnosis of Charcot joint is highly suspicious.
出处
《中国骨肿瘤骨病》
2007年第2期85-88,共4页
Chinse Journal Of Bone Tumor And Bone Disease
