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乳癌の骨転移を危惧された手関節痛の1例―骨転移と骨壊死―
澤泉 卓哉, 林 央介, 伊藤 博元
日本医科大学整形外科学
A Case of Wrist Pain Suspected to be Caused by Bone Metastasis of Breast Cancer -Bone Metastasis and Bone Necrosis-
Takuya Sawaizumi, Ousuke Hayashi and Hiromoto Ito
Department of Orthopaedic Surgery, Nippon Medical School
A 50-year old woman complained of right wrist pain 7 years after surgery for breast cancer. Osteosclerosis of the scaphoid was recognized on X-ray film, and extension of the bone lesion to the lunate was revealed by magnetic resonance. Metastasis of breast cancer was strongly suggested by magnetic resonance, but the lesion was diagnosed as ischemic osteonecrosis of both the scaphoid and lunate on the basis of computed tomographic and radiographic findings. Since the wrist pain gradually increased, radial closing wedged osteotomy was performed. The wrist pain resolved postoperatively.
日医大医会誌 2005; 1(4), 195-197
Key words
wrist pain, bone necrosis, Preiser's disease, Kienböck's disease, closing wedged osteotomy
Correspondence to
Takuya Sawaizumi, Department of Orthopaedic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
E-mail：sawa@nms.ac.jp
受付：2005年7月27日 受理：2005年9月12日 |
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