Bone SPECT/CT of Femoral Head Subchondral Insufficiency Fracture

被引：17
|
作者：
Motomura, Goro [1 ]
Yamamoto, Takuaki [1 ]
Karasuyama, Kazuyuki [1 ]
Iwamoto, Yukihide [1 ]
机构：
[1] Kyushu Univ, Grad Sch Med Sci, Dept Orthopaed Surg, Fukuoka 8128582, Japan
来源：
CLINICAL NUCLEAR MEDICINE | 2015年 / 40卷 / 09期
关键词：
subchondral insufficiency fracture; SPECT; CT; osteonecrosis; OSTEONECROSIS; MRI;
D O I：
10.1097/RLU.0000000000000886
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Subchondral insufficiency fracture of the femoral head may be confused with osteonecrosis, mainly because of radiological overlap. SPECT/CT with Tc-99 m hydroxymethylene diphosphonate images in 7 patients with subchondral insufficiency fracture were retrospectively reviewed and compared with those from 11 patients with symptomatic early osteonecrosis. In all of the hips with subchondral insufficiency fracture, SPECT/CT showed increased uptake at the subchondral lesions of the femoral head. On the other hand, in all of the hips with osteonecrosis, absence of uptake was confirmed at the subchondral lesions. SPECT/CT may assist in differentiating subchondral insufficiency fracture from osteonecrosis.
引用
收藏
页码：752 / 754
页数：3
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