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).


Femoral Head Tracer Uptake Femoral Neck Fracture Avascular Necrosis Bone Marrow Edema 
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  1. Apley AG, Wientroub S (1981) The sagging rope sign in Perthes’ disease and allied disorders. J Bone Joint Surg [Br] 63:43–47Google Scholar
  2. Bleumm RG, Flake THM, Ziedes des Plantes, et al (1985) Early Legg-Perthes disease (ischemic necrosis of the femoral head) demonstrated by MRI. Skeletal Radiol 14:95–98CrossRefGoogle Scholar
  3. Clarke NMP, Harrison MHM, Keret D (1983) The sagging rope sign: a critical appraisal. J Bone Joint Surg [Br] 65:285–287Google Scholar
  4. Ficat RP, Arlet J (1980) Ischemia and bone necrosis. Williams & Wilkins, BaltimoreGoogle Scholar
  5. Genant HK, Kozin F, Beckerman C, et al (1975) The reflex sympathetic dystrophy syndrome. A comprehensive analysis using fine-detail radiography, photon absortiometry and bone and joint scintigraphy. Radiology 117:21–32PubMedGoogle Scholar
  6. Gensburg RS, Kawashima A, Sandler CM (1988) Scintigraphic demonstration of lower extremity periostitis secondary to venous insufficiency. J Nucl Med 29:1279–1282PubMedGoogle Scholar
  7. Lovell RRH, Scott GBD (1956) Hypertrophic osteoarthropathy in polyarteritis. Ann Rheum Dis 15:46–50PubMedCrossRefGoogle Scholar
  8. Moore SG, Bisset GS III, Siegel MJ, et al (1991) Pediatric musculoskeletal MR imaging. Radiology 179:345–360PubMedGoogle Scholar
  9. Murphy WA, Totty WG (1986) Musculoskeletal magnetic resonance imaging. In: Kressel HY (ed) Magnetic resonance annual. Raven, New YorkGoogle Scholar
  10. Naides SJ, Resnick D, Zvaifler NJ (1985) Idiopathic regional osteoporosis: a clinical spectrum. J Rheumatol 12:763–768PubMedGoogle Scholar
  11. 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
  12. Wilson AJ, Murphy WA, Hardy DC, et al (1988) Transient osteoporosis: transient bone marrow edema? Radiology, 167:757–760PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • Yong Whee Bahk
    • 1
  1. 1.Department of Radiology & Nuclear Medicine, Kangnam St. Mary’s HospitalCatholic University Medical CollegeSeoul, 137Korea

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