肩关节米粒体:1例报告与文献复习

Rice body in shoulder: a case report and literature review

米粒体在多关节内均有报道,通常认为该病常继发于类风湿性关节炎或其他炎性关节病;一部分学者认为滑膜微血管梗塞后出现坏死,坏死的滑膜脱落进入滑膜液,而后被纤维蛋白包裹而形成米粒体。米粒体的主要症状为局部肿胀,可不伴痛感。本文报告1例类风湿关节炎合并肩关节米粒体,行肩关节镜下滑膜米粒体清除术取得良好效果。并对相关文献综述,为临床医师提供参考。

Rice body has been reported in multiple joints, and is usually thought that the disease is secondary to rheumatoid arthritis or other inflammatory arthropathy. Some scholars believe that the necrotic synovial membrane falls off into the synovial fluid after synovial infarction, and then is wrapped by fibrin to form the rice body. The main symptom of rice body is local swelling accompanied with pain.This paper reports a case of rheumatoid arthritis complicated with shoulder rice body, which were removed under shoulder arthroscopy with good results. In addition, the relevant literature was reviewed in this paper to provide reference for clinicians.