Der Unfallchirurg

, Volume 116, Issue 8, pp 744–748

Bronchialkarzinom bei Knieschmerzen

Die sekundäre hypertrophe Osteoarthropathie
Kasuistiken

Zusammenfassung

Als sekundäre hypertrophe Osteoarthropathie (HOA) oder Marie-Bamberger-Syndrom wird ein seltenes paraneoplastisches Syndrom bezeichnet, bei welchem es neben der Ausbildung von Trommelschlegelfingern zu periostalen Reaktionen der Röhrenknochen und Gelenkergüssen kommen kann. Wir berichten in diesem Artikel über eine Patientin ohne bekannte Vorerkrankungen, die nach einer Knieprellung persistierende Schmerzen und eine Bewegungseinschränkung im linken Knie entwickelte. Nach einer im initialen Röntgenbild sichtbaren ausgeprägten periostalen Reaktion des linken Femurs wurde eine erweiterte Diagnostik eingeleitet, mit welcher ein Bronchialkarzinom nachgewiesen wurde. Nach der chirurgischen Entfernung des Primarius bildeten sich die Gelenkbeschwerden vollständig zurück.

Schlüsselwörter

Osteoarthropathie, sekundäre hypertrophe Trommelschlegelfinger Bronchialkarzinom Gelenkschmerzen Marie-Bamberger-Syndrom 

Bronchial carcinoma and knee pain

Secondary hypertophic osteoarthropathy

Abstract

Secondary hypertrophic osteoarthropathy (HOA), also known as Marie-Bamberger syndrome, is a rare neoplastic syndrome featuring clubbing of the tips of the digits, periosteal proliferation and synovial effusion of adjacent joints. We report a case where a patient without any other known medical condition developed persistent arthralgia and mobility restriction after bruising the left knee. As the initial X-ray examination of the knee showed a distinct periosteal proliferation of the left femoral bone, extended diagnostics were initiated during which a bronchial carcinoma was identified. After surgical removal of the primary tumor the symptoms of irritation in the knee joint recovered totally.

Keywords

Osteoarthropathy, secondary hypertrophic Clubbing Bronchogenic carcinoma Arthralgia Marie-Bamberger syndrome 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Hochtaunus-KlinikenBad Homburg v.d.HDeutschland

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