PAINFUL KNEES IN OLDER PATIENTS - RADIONUCLIDE DIAGNOSIS OF POSSIBLE OSTEONECROSIS WITH SPONTANEOUS RESOLUTION
PAINFUL KNEES IN OLDER PATIENTS - RADIONUCLIDE DIAGNOSIS OF POSSIBLE OSTEONECROSIS WITH SPONTANEOUS RESOLUTION
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DOI：
10.2106/00004623-197759050-00006
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发表时间：
1977-01-01
影响因子：
5.3
通讯作者：
ALAVI, A
中科院分区：
文献类型：
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作者：
LOTKE, PA;ECKER, ML;ALAVI, A
膝关节股骨骨坏死综合征是老年患者膝关节疼痛的突然发作。它通常与软骨下射线可透性和放射性核素骨扫描阳性有关。病变可能进展为骨塌陷。描述了12例股骨髁骨坏死的临床实体，因为患者的临床表现与骨坏死相同，并且骨扫描呈阳性。X线摄影的变化，理应诊断的条件是没有看到。在这12名患者中，避免了关节切开术;他们变得无症状，并且他们的骨扫描在几个月内恢复正常。
The syndrome of osteonecrosis of the femur at the knee presents as sudden onset of knee pain in elderly patients. It is classically associated with subchondral radiolucency and positive radionuclide bone scan. The lesion may progress to bone collapse. Cases (12) are described in which the clinical entity of osteonecrosis of the femoral condyle was diagnosed because patients had a clinical picture identical to that of osteonecrosis and had postive bone scans. Roentgenographic changes supposedly diagnostic of the condition were not seen. In these 12 patients, arthrotomy was avoided; they became asymptomatic, and their bone scans returned to normal in a few months.