INTRAOSSEOUS PHLEBOGRAPHY, INTRAOSSEOUS PRESSURE MEASUREMENTS AND TC-99M POLYPHOSPHATE SCINTIGRAPHY IN PATIENTS WITH VARIOUS PAINFUL CONDITIONS IN THE HIP AND KNEE
INTRAOSSEOUS PHLEBOGRAPHY, INTRAOSSEOUS PRESSURE MEASUREMENTS AND TC-99M POLYPHOSPHATE SCINTIGRAPHY IN PATIENTS WITH VARIOUS PAINFUL CONDITIONS IN THE HIP AND KNEE
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DOI：
10.3109/17453678008990764
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发表时间：
1980-01-01
期刊：
影响因子：
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通讯作者：
KARLE, A
中科院分区：
文献类型：
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作者：
ARNOLDI, CC;DJURHUUS, JC;KARLE, A
对25例膝关节或髋关节疼痛患者进行双侧骨内静脉造影、骨内压测量和99 mTc-聚磷酸盐骨显像检查。所有因骨关节炎或骨内充血疼痛综合征而出现典型静息痛的患者，均表现为疼痛关节附近骨髓中静脉淤滞和压力升高，放射性示踪剂摄取异常高。在其他类型疼痛的患者中，这种相关性不存在。99 mTc-多磷酸盐骨显像可作为有典型病史的骨内肿胀疼痛综合征的筛查方法。关节区域同位素摄取增加可能是由于多种其他原因。在骨内肿胀疼痛综合征和骨关节炎患者中，所有3种研究方法的结果相同，提示存在共同的病理机制。
Patients (25) with pain in the knee or hip were examined by bilateral intraosseous phlebography, intraosseous pressure measurements and 99mTc-polyphosphate scintigraphy. All patients with typical rest pain due to osteoarthritis or to the intraosseous engorgement-pain syndrome-showed venous statis and increased pressure in the bone marrow near the painful joint and abnormally high uptake of the radiotracer. In patients with other types of pain this correlation was absent. 99mTc-polyphosphate scintigraphy can apparently be used as a screening method in the diagnosis of the intraosseous engorgement-pain syndrome in patients with a typical history. Increased isotope uptake in a joint region may be due to a variety of other causes. The identical findings with all 3 methods of investigation in patients with the intraosseous engorgement-pain syndrome and osteoarthritis suggest a common pathomechanism.