臨床整形外科44巻12号

2009年12月発行

臨床経験

環軸関節に起因する急性頚部痛

著者： 小林孝¹ 今野則和² 野口英明² 石川慶紀² 阿部栄二¹

所属機関： ¹秋田組合総合病院整形外科 ²湖東総合病院整形外科

ページ範囲：P.1257 - P.1262

　2004年3月から2008年3月に受診した急性頚部痛27例に環軸関節穿刺と抗生剤あるいは局所麻酔剤の環軸関節内注射を行った．関節液が採取されれば顕微鏡検査を行った．対象は27例で平均75.9歳だった．CTでは3例に石灰化がなく，22例で横靱帯内に石灰化を認め，2例でC2の椎体前方に石灰化を認めた．VASスコアは，穿刺前平均81.9mmが穿刺30分後には平均35.6mmと軽快した(p＜0.001)．16例で関節液を採取でき，10例でcalcium pryophosphate dihydrate(CPPD)結晶が認められた．高齢者の急性頚部痛の一因として環軸関節炎による可能性が示唆された．

参考文献

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