Bone Scintigraphy in Perthes Disease
| Autor: | F Cavailloles, Z Csukonyi, B. Bok, H Bensahel |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Radiography Disease Scintigraphy Femur Head Necrosis medicine Humans Orthopedics and Sports Medicine Hip pain Child Radionuclide Imaging medicine.diagnostic_test business.industry Infant Femur Head General Medicine Prognosis medicine.disease medicine.anatomical_structure Bone scintigraphy Acute Synovitis Dysplasia Child Preschool Hip bone Pediatrics Perinatology and Child Health Legg-Calve-Perthes Disease Female Hip Joint Radiology business |
| Zdroj: | Journal of Pediatric Orthopaedics. 3:302-305 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/01241398-198307000-00006 |
| Popis: | After intravenous injection of 99mTc methyldiphosphonate, 190 hip bone scans were performed on 103 children. In 64 children with Perthes disease, 61 of 71 hips (86%) showed abnormal scintigraphy. There were no false positives. In other hip disorders, the scan was never considered to simulate Perthes disease. There were 36 children with acute synovitis and three with Meyer's dysplasia. The sensitivity was 97%, suggesting that this test should be used more frequently in the early assessment of hip pain in the young child, before the appearance of characteristic radiographic abnormalities. This test is also valuable for follow-up of the disease because of its prognostic value--the bone scan becomes normal far earlier than the radiograph. The progressive normalization of the scan may help determine when the child can begin weight-bearing. |
| Databáze: | OpenAIRE |
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