Vascular Bone Disorders
The vascularity-related bone disorders of bone scintigraphic concern include avascular osteonecrosis, bone infarction, dysbaric osteonecrosis, hyperemic and congestive osteoporosis, congestive periostitis, and periostitis of Bürger’s disease. The bone scan augmented with nuclear angiography and pinhole technique appears to be the method of choice in these conditions because scintigraphy is not only sensitive and often specific but also panoramic, noninvasive, and easily repeatable in a day or two when necessary. In particular, pinhole scintigraphy has been valued for its usefulness in the preradiographic detection of avascularity and subsequently for the assessment of revascularization. The study can also depict the peculiar tracer uptake in regional osteoporosis as well as in the periostitis associated with the anoxia in the venous stagnation and arteritis obliterans (Bürger’s disease).
KeywordsPorosity Arthritis Ischemia Osteoporosis Corticosteroid
Unable to display preview. Download preview PDF.
- Apley AG, Wientroub S (1981) The sagging rope sign in Perthes’ disease and allied disorders. J Bone Joint Surg [Br] 63:43–47Google Scholar
- Clarke NMP, Harrison MHM, Keret D (1983) The sagging rope sign: a critical appraisal. J Bone Joint Surg [Br] 65:285–287Google Scholar
- Ficat RP, Arlet J (1980) Ischemia and bone necrosis. Williams & Wilkins, BaltimoreGoogle Scholar
- Murphy WA, Totty WG (1986) Musculoskeletal magnetic resonance imaging. In: Kressel HY (ed) Magnetic resonance annual. Raven, New YorkGoogle Scholar
- Resnick D, Niwayama G (1988) Pathogenesis of osteonecrosis. In: Resnick D, Niwayama G (eds) Diagnosis of bone and joint disorders, 2nd edn. Saunders, PhiladelphiaGoogle Scholar