Mối liên quan giữa triệu chứng lâm sàng và thăm dò hình ảnh của thoái hóa khớp bàn ngón chân I nguyên phát

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Tác giả: Virak Khim, Thị Phương Thủy Nguyễn, Thị Thu Nguyễn, Đức Tâm Phùng, Thị Minh Hoa Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 616.975075 Other diseases

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 261-266

Bộ sưu tập: Metadata

ID: 502528

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Mô tả triệu chứng lâm sàng, x-quang và siêu âm ở bệnh nhân thoái hóa khớp bàn ngón chân I nguyên phát và khảo sát mối liên quan giữa triệu chứng lâm sàng với xquang và siêu âm ở nhóm đối tượng nghiên cứu. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả loạt ca bệnh trên 50 bệnh nhân có triệu chứng sưng và/hoặc đau và/hoặc hạn chế vận động và/hoặc biến dạng vùng khớp bàn ngón I bàn chân đến khám ngoại trú tại phòng khám Cơ xương khớp Bệnh viện Bạch Mai từ tháng 08 năm 2022 đến tháng 08 năm 2023. Kết quả: Tuổi trung bình của nhóm bệnh nhân nghiên cứu là 59,2 ± 9,4. Phân độ thoái hóa khớp bàn ngón chân I trên X-quang chủ yếu ở độ 1 và 2 với tỷ lệ lần lượt là 61% và 32%. Hình ảnh tổn thương trên siêu âm thường gặp nhất là gai xương 67,2%, dịch khớp và dày màng hoạt dịch ít gặp hơn với tỷ lệ 23% và 8,2%. Mức độ thoái hóa khớp trên X-quang càng nặng thì mức độ đau càng tăng, khác biệt có ý nghĩ thống kê với độ tin cậy 95%. Có mối liên quan giữa sự xuất hiện của hình ảnh gai xương trên siêu âm và mức độ biến dạng khớp, hạn chế vận động trên lâm sàng. Kết luận: Có mối liên quan chặt chẽ giữa mức độ nặng của các triệu chứng lâm sàng với phân độ tổn thương trên X-quang và hình ảnh gai xương trên siêu âm.To describe clinical symptoms, x-ray images, ultrasound images of the primary osteoarthritis in metatarsophalangeal joints of foot and evaluate the association between clinical manifestation and ultrasound in research subjects. Subjects and method: The descriptive study on the case series of 50 patients with symptoms of swelling and/or pain and/or movement restriction and/or deformation of first metatarsophalangeal joint for outpatient examination at the Rheumatogy consultant in Bach Mai hospital from August in 2022 to August in 2023. Results: The average age of this group is 59,2 ± 9,4. Classification of osteoarthritis grade based on x-ray at grade 1 and grade 2 with the rate of 61% and 32%, respectively. The most common image in ultrasound is osteophytes 67%, joint effusion and thick synovium is less common with 23% and 8,2%, respectively. The higher grade of osteoarthritis on the x-ray images, the more painful, statistically significant difference with 95% confidence. There is a relationship between the appearance of osteophytes image on ultrasound and the grade of deformation joint, movement restriction. Conclusion: There is a strong correlation between the severity of clinical manifestations and the grade of x-ray images and ultrasound images.

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