TRANSARTICULAR INVASION OF JOINTS BY BONE-TUMORS - HYPOTHESIS

被引:31
作者
ABDELWAHAB, IF
MILLER, TT
HERMANN, G
KLEIN, MJ
KENAN, S
LEWIS, MM
机构
[1] CUNY,MT SINAI MED CTR,DEPT PATHOL,NEW YORK,NY 10029
[2] CUNY,MT SINAI MED CTR,DEPT ORTHOPED SURG,NEW YORK,NY 10029
关键词
TUMORS OF BONE; JOINT INVASION; COMPUTED TOMOGRAPHY; MAGNETIC RESONANCE IMAGING;
D O I
10.1007/BF02341666
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Eight bone tumors with associated transarticular invasion of the sacroiliac joints are described. All invaded the true synovial joint and spread to the opposing bone. One tumor was benign, and the other seven were malignant. Five of the seven were primary and two were metastatic cancer. One, a myeloma, invaded the disc spaces between the fourth and fifth lumbar vertebrae and the fifth lumbar vertebra and sacrum as well as the sacroiliac joint. The right facet joints of the two vertebrae were also invaded. After a thorough search of the literature, we find that the sacroiliac joint is the most common joint to be invaded by tumors. This is followed by the vertebral disc spaces and, last, the facet joints. Apart from these joints, we were unable to find any radiographic documentation of other joints being transarticularly invaded by tumors. We noted that there is a direct relation between transarticular tumor spread and joints that lack mobility and that certain tumors, benign and malignant, tend to invade these joints.
引用
收藏
页码:279 / 283
页数:5
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