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首页> 外文期刊>Journal of musculoskeletal pain >Other Soft Tissue Pain Conditions
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Other Soft Tissue Pain Conditions

机译:其他软组织疼痛

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The authors report a case of an 83-year-old man who had an eight-week history of right groin pain. Three weeks after the pain started, he was unable to walk due to limping. This was accompanied by fatigue and morning stiffness. After another two weeks, he developed loss of power in both arms and the upper legs. He had much difficulty in walking, climbing stairs, and dressing himself. Physical examination revealed tenderness in the right groin, but there was good hip and lumbar spine range of motion. Neurologic examination was normal. There was slight swelling of the left wrist joint, but there were no psoriatic lesions or signs of sacroiliitis. Normal red blood cell and white blood cell counts were noted, but the erythrocyte sedimentation rate [ESR] was elevated [70 mm]. Rheumatoid factor and antinuclear antibody titers were in the normal range. Ultrasound [US] of the groin revealed a large fluid collection [6 cm x 2.5 cm x 3 cm] lateral to the iliac vessels and adjacent to the psoas muscle. This was identified as iliopectineal bursitis. The bursa was aspirated, presumably with US guidance, and 7 ml of clear yellow fluid was obtained. The left radiocarpal joint was also examined by US, and a small amount of fluid was found in the radio-carpal joint. Examination of the aspirated fluid was normal [i.e. no crystals, no infectious agents, etc.].
机译:作者报告一例83岁的人谁有八周右腹股沟的历史疼痛。不能走路一瘸一拐的。早上伴随着疲劳和刚度。两周后,他的损失在双臂上腿。行走困难,爬楼梯,自己穿衣。温柔的腹股沟,但很好臀部和腰椎的运动范围。考试是正常的。左腕关节,但是没有银屑病病变或骶髂关节炎的迹象。正常的红细胞和白细胞计数指出,但红细胞沉降率(ESR)升高(70毫米)。因子和抗核抗体滴度正常范围内。透露一个大型流体集合[6厘米x 2.5厘米x 3厘米]侧髂血管和相邻腰大肌的肌肉。胯栉滑囊炎。可能与我们的指导和7毫升的清晰黄色的液体。联合也检查了我们,少量流体在radio-carpal联合被发现。考试的吸气流动是正常的(即没有晶体,没有传染性病原体等)。

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