Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
권호 표지
DOI QR코드

DOI QR Code

견관절에 발생한 만성 재발성 다발성 골수염 - 1예 보고 -

Chronic Recurrent Multifocal Osteomyelitis of The Shoulder - A Case Report -

  • 이기원 (울산대학교 강릉아산병원 정형외과학교실) ;
  • 최영준 (울산대학교 강릉아산병원 정형외과학교실) ;
  • 안형선 (울산대학교 강릉아산병원 정형외과학교실) ;
  • 김정환 (울산대학교 강릉아산병원 정형외과학교실) ;
  • 황재광 (울산대학교 강릉아산병원 정형외과학교실) ;
  • 강정호 (울산대학교 강릉아산병원 정형외과학교실) ;
  • 이선우 (울산대학교 강릉아산병원 정형외과학교실) ;
  • 조완종 (울산대학교 강릉아산병원 정형외과학교실) ;
  • 박준석 (울산대학교 강릉아산병원 정형외과학교실)
  • Lee, Ki-Won (Department of Orthopedic Surgery, Gangneung Asan hospital, University of Ulsan College of Medicine) ;
  • Choi, Young-Joon (Department of Orthopedic Surgery, Gangneung Asan hospital, University of Ulsan College of Medicine) ;
  • Ahn, Hyung-Sun (Department of Orthopedic Surgery, Gangneung Asan hospital, University of Ulsan College of Medicine) ;
  • Kim, Chung-Hwan (Department of Orthopedic Surgery, Gangneung Asan hospital, University of Ulsan College of Medicine) ;
  • Hwang, Jae-Kwang (Department of Orthopedic Surgery, Gangneung Asan hospital, University of Ulsan College of Medicine) ;
  • Kang, Jeong-Ho (Department of Orthopedic Surgery, Gangneung Asan hospital, University of Ulsan College of Medicine) ;
  • Lee, Seon-Woo (Department of Orthopedic Surgery, Gangneung Asan hospital, University of Ulsan College of Medicine) ;
  • Cho, Wan-Jong (Department of Orthopedic Surgery, Gangneung Asan hospital, University of Ulsan College of Medicine) ;
  • Park, Jun-Seok (Department of Orthopedic Surgery, Gangneung Asan hospital, University of Ulsan College of Medicine)
  • 투고 : 2011.07.26
  • 심사 : 2011.11.21
  • 발행 : 2011.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 견관절에 발생한 만성 재발성 다발성 골수염의 진단 및 치료 경험을 보고하고자 한다. 대상 및 방법: 견관절에 발생한 만성 재발성 다발성 골수염을 가진 16세 남자 환자에 대해 관절경하 변연 절제술 및 Naproxen을 이용한 치료를 시행하였다. 결과: 치료 후 16개월 동안 추시상 재발 없이 증상이 소실되었다. 결론: 만성 재발성 다발성 골수염은 비특이적 임상 양상과 드문 발병률 때문에 진단에 어려움이 있는 질환이다. 저자들은 16세 남자 환자에서 견관절에 발생한 만성 재발성 다발성 골수염 1예를 경험 하였기에 문헌 고찰과 함께 보고하는 바이다.

Purpose: We report a case of chronic recurrent multifocal osteomyelitis of the shoulder. Materials and Methods: A 16 year-old male who had suffered from chronic recurrent multifocal osteomyelitis of the shoulder was diagnosed by clinical features and biopsy and was treated with arthroscopic debridement and Naproxen. Results: Symptoms was subsided without relapse during 16 months follow up. Conclusion: Chronic recurrent multifocal osteomyelitis is rare disease and it can be misdiagnosis because of its rarity and non-specific clinical presentation. This is a report of a case of chronic recurrent multifocal osteomyelitis of the shoulder in 16 years man.

키워드

참고문헌

  1. Giedion A, Holthusen W, Masel LF, Vischer D. Subacute and chronic "symmetrical" osteomyelitis. Ann Radiol (Paris). 1972;15:329-42.
  2. Chung YK, Song BT, Chung BE. Chronic recurrent multifocal osteomyelitis. J Korean Orthop Assoc. 1990;25:1576-9.
  3. Cho DY, Haham YG, Kim JW. Chronic recurrent multifocal osteomyelitis. J Korean Orthop Assoc. 1996; 31:920-7.
  4. Catalano-Pons C, Comte A, Wipff J, et al. Clinical outcome in children with chronic recurrent multifocal osteomyelitis. Rheumatology (Oxford). 2008;47:1397-9. https://doi.org/10.1093/rheumatology/ken249
  5. Girschick HJ, Raab P, Surbaum S, et al. Chronic non-bacterial osteomyelitis in children. Ann Rheum Dis. 2005;64:279-85. https://doi.org/10.1136/ard.2004.023838
  6. Gikas PD, Islam L, Aston W, Tirabosco R, Saifuddin A, Briggs TW, Cannon SR, O'Donnell P, Jacobs B, Flanagan AM. Nonbacterial osteitis: a clinical, histopathological, and imaging study with a proposal for protocol-based management of patients with this diagnosis. J Orthop Sci. 2009;14:505-16. https://doi.org/10.1007/s00776-009-1381-4
  7. Jansson A, Renner ED, Ramser J, et al. Classification of non-bacterial osteitis: retrospective study of clinical, immunological and genetic aspects in 89 patients. Rheumatology (Oxford). 2007;46:154-60. https://doi.org/10.1093/rheumatology/kel190
  8. Beck C, Morbach H, Beer M, et al. Chronic nonbacterial osteomyelitis in childhood: prospective follow-up during the first year of anti-inflammatory treatment. Arthritis Res Ther. 2010;12:R74. https://doi.org/10.1186/ar2992
  9. Manson D, Wilmot DM, King S, Laxer RM. Physeal involvement in chronic recurrent multifocal osteomyelitis. Pediatr Radiol. 1989;20:76-9. https://doi.org/10.1007/BF02010639

피인용 문헌

  1. Chronic Recurrent Multifocal Osteomyelitis on the Distal Tibia and Fibula vol.50, pp.2, 2015, https://doi.org/10.4055/jkoa.2015.50.2.160