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Objective To investigate the clinical, imaging, pathological features and diagnosis and treatment of the femoral head necrosis combined with synovial chondromatosis. Methods A patient with femoral head necrosis complicated with synovial chondromatosis was reported. We reviewed the relevant literatures and conducted an analysis. Results According to the X-rays, CT, MRI findings and clinical manifestations, the patient was diagnosed as femoral head necrosis and was treated with total hip arthroplasty; We found the loose bodies in acetabula with full view. The loose bodies were pathologically diagnosed as synovial chondromatosis. Eventually this patient was diagnosed as femoral head necrosis complicated with synovial chondromatosis. Conclusions Femoral head necrosis can coexist with synovial chondromatosis. Either of these diseases can also exist independently or appear one after another. Clinical diagnosis should be made based on clinical manifestations, imaging and pathological examinations, so that the corr

作者:王亚康;秦四清;江仁奇;张育民

来源:中国骨与关节杂志 2017 年 6卷 5期

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| 浏览:152 | 下载:30
作者:
王亚康;秦四清;江仁奇;张育民
来源:
中国骨与关节杂志 2017 年 6卷 5期
标签:
骨坏死 股骨头坏死 软骨瘤,滑膜 关节成形术,置换,髋 髋关节 Osteonecrosis Femur head necrosis Chondromatosis synovial Arthroplasty replacement hip Hip joint
Objective To investigate the clinical, imaging, pathological features and diagnosis and treatment of the femoral head necrosis combined with synovial chondromatosis. Methods A patient with femoral head necrosis complicated with synovial chondromatosis was reported. We reviewed the relevant literatures and conducted an analysis. Results According to the X-rays, CT, MRI findings and clinical manifestations, the patient was diagnosed as femoral head necrosis and was treated with total hip arthroplasty; We found the loose bodies in acetabula with full view. The loose bodies were pathologically diagnosed as synovial chondromatosis. Eventually this patient was diagnosed as femoral head necrosis complicated with synovial chondromatosis. Conclusions Femoral head necrosis can coexist with synovial chondromatosis. Either of these diseases can also exist independently or appear one after another. Clinical diagnosis should be made based on clinical manifestations, imaging and pathological examinations, so that the corr