Sequential radionuclide bone imaging in avascular pediatric hip conditions.

Sequential radionuclide bone imaging in avascular pediatric hip conditions.
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儿童髋部无血管疾病的序贯放射性核素骨显像。

DOI:
10.1097/00003086-198305000-00032
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发表时间:
1983
影响因子:
4.2
通讯作者:
G. Simons
G. Simons
中科院分区:
医学2区
文献类型:
--
作者:
J. Minikel;J. Sty;G. Simons

文献摘要

被引文献

相似文献

对六名患有不同髋关节疾病的患者进行了放射性核素骨显像。最初的骨图像显示股骨头骨骺中同位素 99mTc-MDP 的吸收减少。治疗干预后,重复骨扫描显示股骨头骨骺中 99mTc-MDP 的摄取正常。随后的X光检查显示没有发生缺血性坏死。无血管有两种类型:潜在可逆的和不可逆的。应尝试及早识别潜在的可逆性缺血性损伤。通过早期识别,在骨赘死亡之前进行手术重建可能会导致血运重建。如果能够做到这一点,就可以避免股骨头坏死。
Radionuclide bone imaging was performed on six patients with various hip conditions. Initial bone images revealed diminished uptake of isotope 99mTc-MDP in the capital femoral epiphysis. Following therapeutic intervention, repeat bone scans revealed normal uptake of 99mTc-MDP in the capital femoral epiphysis. Subsequent radiographs revealed that avascular necrosis had not occurred. There are two types of avascularity: the potentially reversible, and the irreversible. Attempts should be made toward early recognition of the potentially reversible avascular insult. With early recognition, surgical reconstruction prior to osteophyte death may result in revascularization. If this can be accomplished, avascular necrosis can be avoided.