摘要
临床资料
患者,男,24岁,汉族,身高143cm,主因“双髋关节疼痛、活动受限5个月”入院。入院查体:患者身材矮小,发育不良(图1),巩膜蓝染(图2),左耳失聪,右耳听力减弱。骨盆未见明显畸形,双侧“4”字试验f+),四肢关节松弛,Beighton评分9分。辅助检查:髋关节正轴位平片检查示:股骨头骨质疏松,部分区域骨质密度相对增高,双股骨屈曲短缩畸形(图3)。
Osteogenesis imperfecta ( OI ) is a genetically and clinically heterogeneous disorder of the bone and connective tissues characterized by osteoporosis, fragile bones, hyperextensible joints, dentinogenesis imperfecta, bluish coloration of the sclerae, and adult-onset hearing loss. One case of young patient treated in our department was diagnosed with OI and osteonecrosis of the femoral head ( ONFH ) by medical history, family history and imagingdata. After the treatment of percutaneous decompression procedure, his imaging data and the Harris score of both hip joints confirmed the surgery was effective.
出处
《中国骨与关节杂志》
CAS
2014年第1期76-79,共4页
Chinese Journal of Bone and Joint