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KMID : 0377619890540010057
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Korean Jungang Medical Journal
1989 Volume.54 No. 1 p.57 ~ p.63
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Scintigraphic Findings of the Hip Joint Disorders in Childdren
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Abstract
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The purpose of this study is to evaluate the possibility of bone scanning in early diagnosis of Legg-Perthes disease and transient synovitis of hip joint prior to radiological changes, and also to observe scintigraphic changes in early and late stage of Legg-Perthes disease.
The authors observed the uptake ratio of technetium-99m-methylene diphosphonate and the scintigraphic findings in fifteen cases of Legg-Perthes disease and ten cases of transient synovitis of the hip joint.
The obtained results were as follows:
1. In fifteen Legg-Perthes disease, scintigraphic findings showed three decreased uptake and one normal uptake in four cases without bone changes on the plain radiograph, and seven decreased uptake and four increased uptake in the eleven cases with bone changes.
2. In ten transient synovitis of the hip joint, scintigraphic findings showed four slight increased uptake but no changes in six cases.
Above findings suggest that bone scanning is valuable diagnostic method in early stage of Legg-Perthes disease, but it has limited value in its advanced stage and has no value in transient synovitis of the hip joint.
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