吉林大学学报(医学版) ›› 2016, Vol. 42 ›› Issue (03): 574-576.doi: 10.13481/j.1671-587x.20160330

• 临床医学 • 上一篇    下一篇

第2跖趾关节痛风性关节炎并发先天性短指(趾)畸形1例报告

苑生1,2, 邵树艳1, 杨光2, 张巨2   

  1. 1. 内蒙古自治区霍林郭勒市人民医院骨科, 内蒙古 霍林郭勒 029200;
    2. 吉林大学中日联谊医院手外科, 吉林 长春 130033
  • 收稿日期:2015-04-22 发布日期:2016-06-17
  • 通讯作者: 杨光,副主任医师,硕士研究生导师(Tel:0431-84997863,E-mail:y_guang@jlu.edu.cn) E-mail:y_guang@jlu.edu.cn
  • 作者简介:苑生(1976-),男,内蒙古自治区通辽市人,主治医师,医学硕士,主要从事骨科疾病诊治方面的工作。
  • 基金资助:

    吉林省科技厅重点科技攻关项目资助课题(20130206036SF);吉林省科技厅青年科技基金资助课题(20130522033JH);吉林省卫计委科研项目资助课题(2016Z018)

A case report of gout arthritis in second metatarsophalangeal joint complicated with congenital brachydactyly

YUAN Sheng1,2, SHAO Shuyan1, YANG Guang2, ZHANG Ju2   

  1. 1. Department of Orthopaedics, Huolinguole People's Hospital, Inner MongoliaAutonomous Region, Huolingguole, 029200, China;
    2. Department of Hand Surgery, China-Japan Union Hospital, Jilin University, Changchun 130033, China
  • Received:2015-04-22 Published:2016-06-17

摘要:

目的: 报道1例第2跖趾关节痛风性关节炎并发先天性短指(趾)畸形病例,并对其诊疗情况进行讨论。方法: 该男性17岁患者因右足第2跖趾关节反复肿痛6个月入院,诊断为先天性短指(趾)畸形,右第2跖趾关节痛风性关节炎,手术行痛风石切除和关节成形术。结果: 患者术后恢复顺利,疼痛消失,恢复正常行走。结论: 痛风可并发足部畸形,临床上需注意鉴别诊断,手术治疗可获得良好效果。

关键词: 痛风, 短指畸形, 关节成形术

Abstract:

Objective: To report a case of gout arthritis in the second metatarsophalangeal joint complicated with congenital brachydactyly,and to discuss the diagnosis and treatment conditions. Methods: One male patient aged 17 years old manifested as repeated pain and swelling in the second metatarsophalangeal joint for 6 months. The diagnosis result showed gout arthritis in the second metatarsophalangeal joint complicated with congenital brachydactyly. Gout stone excision and arthroplasty were performed to relieve the symptoms. Results: The patient recovered without complications.The pain disappeared postoperatively.The patient returned to the normal walking function. Conclusion: The gout and congenital brachydactyly can be presented in one patient.Differential diagnosis is essential for the case,and the surgical excision is curative.

Key words: gout, brachydactyly, arthroplasty

中图分类号: 

  • R684.3