Prognosis in spontaneous osteonecrosis of the knee. Investigation by radionuclide scintimetry and radiography.
Prognosis in spontaneous osteonecrosis of the knee. Investigation by radionuclide scintimetry and radiography.
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膝关节自发性骨坏死的预后。
DOI：
10.1302/0301-620x.52b4.605
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发表时间：
1970
期刊：
影响因子：
--
通讯作者：
W. Bohne
中科院分区：
文献类型：
--
作者：
G. Muheim;W. Bohne
在 52 个患有自发性骨坏死的膝盖中，诊断是基于股骨内侧髁承重表面的软骨下透光性。锶 85 闪烁分析显示出独特的模式，表明局部高值引起了活跃的修复反应。在两到二十三年之间，十五个膝盖中有十三个出现了骨关节炎。预后基于闪烁测定法确定的透辐射大小和病变焦点。建议闪烁分析法可以区分原发性骨关节炎和继发于骨坏死的关节炎。
In fifty-two knees with spontaneous osteonecrosis the diagnosis was based on a subchondral transradiancy in the weight-bearing surface of the medial femoral condyle. Strontium-85 scintimetry showed a unique pattern, indicating a lively repair reaction by localised high values. Thirteen of fifteen knees followed between two and twenty-three years developed osteoarthritis. The prognosis was based on the size of the transradiancy and the focality of the lesion as determined by scintimetry. It is suggested that scintimetry permits differentiation between primary osteoarthritis and arthritis secondary to osteonecrosis.