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机构地区:[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
出 处:《吉林大学学报(医学版)》2016年第3期574-576,I0004,共4页Journal of Jilin University:Medicine Edition
基 金: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)
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。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 aged17 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.
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