LEGG-CALVE-PERTHES DISEASE IN THE EVOLUTIONARY PERIOD - COMPARISON OF MAGNETIC-RESONANCE-IMAGING WITH BONE-SCINTIGRAPHY

被引：16
作者：
UNO, A
HATTORI, T
NORITAKE, K
SUDA, H
机构：
[1] Department of Orthopaedic Surgery, Nagoya University School of Medicine, Nagoya
来源：
JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1995年 / 15卷 / 03期
关键词：
BONE SCINTIGRAPHY; LEGG-CALVE-PERTHES DISEASE; MAGNETIC RESONANCE IMAGE;
D O I：
10.1097/01241398-199505000-00020
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Magnetic resonance images (MRIs) and pinhole scintigraphs were obtained in 40 patients (40 hips) with Legg-Calve-Perthes disease in the evolutionary phase, the mean age at onset of symptoms being 6 years 7 months. The correlation between the uptake of the pinhole scintigraphs and the signal intensity of MRIs was examined in reference to the extent of the involved femoral epiphysis. MRIs depicted the extent of the involved femoral epiphysis more clearly than did pinhole scintigraphs. The uptakes of the pinhole scintigraphs corresponded with high or normal intensity of T2-weighted images on MRI. The femoral epiphysis in the initial phase (in which the signal intensity of the lateral area of the epiphysis on T1-weighted coronal images was low or intermediate and high or unchanged on T2-weighted coronal images corresponded to the lateral column [recanalization] on the pinhole scintigraphs) suggested a low risk of subsequent deformity. MRI is a powerful new technique to evaluate the femoral epiphysis in Legg-Calve-Perthes disease.
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页码：362 / 367
页数：6
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共 29 条
  • [1] Bluemm R.G., Falke T., Ziedses Des Plantes B.G., Steiner R.M., Early Legg-Perthes disease (Ischemic necrosis of the femoral head) demonstrated by magnetic resonance imag-ings, Skeletal Radiol, 14, pp. 95-98, (1985)
  • [2] Bos C., Bloem J.L., Bloem R.M., Sequential magnetic resonance imaging in Perthes’ disease, J Bone Joint Surg [Br], 73, pp. 219-224, (1991)
  • [3] Brotherton B.J., McKibbin B., Perthes’ disease treated by prolonged recumbency and femoral head containment: A long-term appraisal, J Bone Joint Surg [Br], 59, pp. 8-14, (1977)
  • [4] Calver R., Venugopal V., Dorgan J., Bentley G., Gimlette T., Radionuclide scanning in the early diagnosis of Perthes’ disease, J Bone Joint Surg [Br], 63, pp. 379-382, (1981)
  • [5] Catterall A., The natural history of Perthes’ disease, J Bone Joint Surg [Br], 53, pp. 37-53, (1971)
  • [6] Catterall A., Legg-Calve-Perthes Disease: Current Problems in Orthopaedics, (1982)
  • [7] Conway J.J., Weiss S.C., Maldonado V., Scintigraphic patterns in Legg-Calve-Perthes disease, Radiology, 149, (1983)
  • [8] Conway J.J., Radionuclide bone scintigraphy in pediatric orthopedics, Pediatr Clin North Am, 33, pp. 1313-1334, (1986)
  • [9] Danigelis J.A., Fisher R.L., Ozonoff M.B., Sziklas J.J., 99mTc-polyphosphate bone imaging in Legg-Perthes disease, Radiology, 115, pp. 407-413, (1975)
  • [10] Dickens D., Menelaus M.B., The assessment of prognosis in Perthes’ disease, J Bone Joint Surg [Br], 60, pp. 189-194, (1978)
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