Clinical study on rheumatoid arthritis combined with femur head necrosis
10.3760/cma.j.issn.1673-4904.2017.05.006
- VernacularTitle:类风湿关节炎合并股骨头坏死的临床观察
- Author:
Jingya WANG
;
Lin LIU
;
Junxia YANG
;
Jie MENG
- Keywords:
Arthritis,rheumatoid;
Femur head necrosis;
Osteonecrosis;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(5):407-409
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical features of rheumatoid arthritis combined with femur head necrosis. Methods The clinical data of 22 patients with rheumatoid arthritis combined with femur head necrosi were retrospectively analyzed. Results Among the 22 patients with rheumatoid arthritis combined with femur head necrosi, male was in 5 cases, female was in 17 cases, age was 28-69 (56.3 ± 1.9) years, and the disease duration of rheumatoid arthritis was 4-30 (14.1 ± 1.2) years. All patients had ≥ 2 grade femur head necrosis, with bilateral femur head necrosis in 9 cases, right femur head necrosis in 9 cases and left femur head necrosis in 4 cases. Only 2 cases did not take glucocorticosteroid, and the other 20 cases used glucocorticosteroid in the long-term. The treatment was no standardized. The multiple fracture was found in 4 cases by X-ray examination (the patients had no history of trauma); 4 cases examined bone density, and the results showed they all were osteoporosis. Conclusions Rheumatoid arthritis combined with femur head necrosis is not uncommon. The majority of patients receive long-term glucocorticosteroid treatment. Treatment is not standardized, and some patients are combined with osteoporosis.
