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中华肩肘外科电子杂志 ›› 2022, Vol. 10 ›› Issue (02) : 173 -175. doi: 10.3877/cma.j.issn.2095-5790.2022.02.014

病例报告

肩袖修补术后米粒体性关节炎一例
胡健1, 刘丙立2,(), 姜新华1, 陈礼阳1, 易诚青1   
  1. 1. 201399 复旦大学附属上海市浦东医院骨科
    2. 201299 上海市浦东新区人民医院骨科
  • 收稿日期:2021-06-08 出版日期:2022-05-05
  • 通信作者: 刘丙立
  • 基金资助:
    浦东新区临床高原学科项目(PWYgy2021-04); 2019年度上海市浦东医院院级人才培养计划(px201902); 上海市浦东新区卫生系统领先人才培养计划(PWRI2021-01)
  • Received:2021-06-08 Published:2022-05-05
引用本文:

胡健, 刘丙立, 姜新华, 陈礼阳, 易诚青. 肩袖修补术后米粒体性关节炎一例[J/OL]. 中华肩肘外科电子杂志, 2022, 10(02): 173-175.

图1 患者初次行右肩关节镜下肩袖修补术后1年复查肩袖愈合良好,肱骨头内显示稍低信号为置入的锚钉
图2 术前X线片提示肱骨大结节处部分骨溶解
图3 术前MRI显示T2加权像,冠状位(图A)和横断位(图B)可见肩峰下间隙及三角肌滑囊内大量中等信号圆形影,可见分隔状滑膜包裹注:MRI为核磁共振成像
图4 关节镜下探查见肩峰下滑囊内大量成簇聚集的白色米粒状颗粒
图5 取出的游离体,大体观为白色米粒状颗粒,质地较软接近于脂肪粒,直径2~5 mm
图6 游离体的病理切片可见为纤维蛋白组织包裹的坏死细胞
图7 术后复查MRI未见米粒状游离体注:MRI为核磁共振成像
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