Bone imaging after acute knee hemarthrosis.
Bone imaging after acute knee hemarthrosis.
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急性膝关节积血后的骨成像。
DOI：
10.1007/bf01552154
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Rangger,C
中科院分区：
文献类型：
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作者：
Fritschy,D;Daniel,DM;Rossman,D;Rangger,C
对84例膝关节急性创伤性关节积血后5-8年接受检查的患者进行了随访评价。在受伤后2周内进行的初步检查显示，18名患者膝关节稳定，66名患者膝关节前部不稳定。其中12名患者在受伤后3个月内接受了前交叉韧带重建，另有11名患者在受伤后1至3年内接受了重建。为了记录随访时的关节退化，进行了骨造影和常规前后位、侧位和隧道X线检查。骨扫描中的内侧、外侧、髌股和髌骨摄取从0到4分级。在8个不同部位对6个放射学变量进行分级。63例患者（75%）骨扫描阳性，69例患者（82%）显示放射学变化。重建膝关节的骨扫描和X线评分均显著较高。
Follow‐up evaluations were carried out in 84 patients examined 5–8 years after sustaining an acute traumatic hemarthrosis of the knee. The initial examination performed within 2 weeks of injury had revealed 18 patients with a stable knee and 66 with anterior instability. Twelve of the patients underwent anterior cruciate ligament reconstruction within 3 months of injury and 11 more did so between 1 and 3 years after injury. To document joint deterioration at follow‐up, bone scintigraphy and conventional anteroposterior, lateral, and tunnel X‐rays were taken. Medial, lateral, patellofemoral and patellar uptake in bone seintigraphy was graded from 0 to 4. Six radiological variables were graded at eight different sites. Sixty‐three patients (75%) had a positive bone scan and 69 patients (82%) showed radiological changes. Bone scan and X‐ray scores were both significantly higher in the reconstructed knees.