髋关节滑膜软骨瘤病误诊为米粒体滑囊炎一例报告

Synovial chondromatosis of the hip was misdiagnosed as rice body bursitis:a case report

报告1例被误诊为米粒体滑囊炎的髋关节滑膜软骨瘤病。患者因左髋关节疼痛、活动受限就诊。通过病史、体格检查、影像学检查及术后病理检查确诊为髋关节滑膜软骨瘤病。通过文献复习,详细论述滑膜软骨瘤病在流行病学、影像学及病理学方面的特点及鉴别诊断,以提高对该病的认识,避免误诊。患者通过髋关节镜手术治疗获得了满意的治疗效果,术后随访1年未复发。

This study shows a case of a patient with synovial chondromatosis of the hip misdiagnosed as rice body bursitis.The patient complained of pain and limited activity in his left hip.He was diagnosed with synovial chondromatosis of the hip by medical history,physical examination,imaging examination and postoperative pathology.Based on literature review,the characteristics and differential diagnosis of the disease in epidemiology,imaging and pathology were discussed in detail,so as to improve the understanding of the disease and avoid misdiagnosis.He was treated with hip arthroscopy and obtained satisfactory therapeutic effect.The patient was followed up for 1 year without recurrence.