BONE DEATH IN TRANSIENT REGIONAL OSTEOPOROSIS

被引:31
作者
DUNSTAN, CR [1 ]
EVANS, RA [1 ]
SOMERS, NM [1 ]
机构
[1] CONCORD HOSP,METAB UNIT,SYDNEY,NSW 2139,AUSTRALIA
关键词
BONE; OSTEONECROSIS; TRANSIENT OSTEOPOROSIS; OSTEOCLASTS; OSTEOBLASTS; OSTEOCYTES;
D O I
10.1016/8756-3282(92)90006-I
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 48-year-old man developed transient regional osteoporosis, with hip and later knee pain. He responded well to lumbar sympathectomy. The femur and tibia adjacent to the painful knee were osteoporotic, while the medial femoral condyle showed increased uptake in a bone scan. In the femoral condyle, bone histology showed areas of dead bone undergoing osteoclastic resorption, and increased bone formation. The tibial bone was histologically normal. The partial bone death in the distal femur suggests that the disorder may be related to both avascular necrosis of bone and reflex sympathetic dystrophy.
引用
收藏
页码:161 / 165
页数:5
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