中国骨与关节杂志
中國骨與關節雜誌
중국골여관절잡지
Chinese Journal of Bone and Joint
2015年
4期
332-334
,共3页
吴家昌%谢琦%杨华%廖长川%王充%林舟丹
吳傢昌%謝琦%楊華%廖長川%王充%林舟丹
오가창%사기%양화%료장천%왕충%림주단
关节病,神经原性%早期诊断%踝关节
關節病,神經原性%早期診斷%踝關節
관절병,신경원성%조기진단%과관절
Arthropathy,neurogenic%Early diagnosis%Ankle joint
Objective To enhance the cognition of clinical features and imaging manifestations of Charcot neuroarthropathy ( CN ).Methods Clinical data of a case of CN with bilateral ankles involed were analyzed, and the relevant literature was reviewed.Results Early clinical manifestations of CN included progressive joint swelling, malformation, decreased sensation and joint dysfunction. X-ray showed no overt bony destruction. The MRI revealed periarticular effusion and bone contusion. CT showed exudation of periarticular soft tissues.Conclusions The role of X-ray in the diagnosis of CN in its early stage is unreliable. The misdiagnosis of CN can be avoided based on the medical history, clinical symptoms and MRI or CT examinations. Moreover, an imaging examination of the nervous system is also necessary.
