Drei-Phasen-Szintigraphie beim Sudeck-Syndrom

Koppers, B

doi:10.1055/s-2008-1056257

Cited by 7 publications

(1 citation statement)

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“…Bone scintigraphy appears as the most sensitive imaging technique for the diagnosis of CRPS, especially within the first 20–26 weeks of onset [ 20 ]. The vast majority of positive results are found at the interval (phase II) and late (phase III) phases, in which tracer accumulation correlates with clinical and roentgenologic findings [ 21 ]. Nonetheless, sometimes scintigraphy is useful and even more sensitive for diagnosis and assessment of the therapeutic response in the absence of evident radiographic demineralization [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Three cases of type-1 complex regional pain syndrome after elective total hip replacement

Zanotti

Slullitel

Buttaro

et al. 2017

SICOT-J

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Complex regional pain syndrome (CRPS) constitutes an atypical cause of pain after orthopaedic procedures. To our knowledge, there is a paucity of literature reporting this syndrome after total hip arthroplasty (THR), since only two case reports have been published. We thenceforth describe the clinical outcome of three cases of type-1 CRPS developed after elective THR, two of them initially diagnosed with secondary osteoarthritis whereas the remaining one presented a sequel of a failed osteosynthesis that required conversion to THR. Remission of disease was found at an average seven months (range: 4–9). Medical treatment involved a combined therapy of pain management, bisphosphonates and intense physical therapy. One patient was additionally treated with a corticosteroid blockade of his right sympathetic lumbar ganglia. None of the patients required surgical treatment. At final follow-up, physical examinations and imaging were negative for disease.

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Section: Discussionmentioning

confidence: 99%

Three cases of type-1 complex regional pain syndrome after elective total hip replacement

Zanotti

Slullitel

Buttaro

et al. 2017

SICOT-J

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Doppler-sonographische durchblutungsmessungen der unteren extremit�t des menschen

Nutz

Peschen

1992

Langenbecks Arch Chiv

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A duplex ultrasound system was used to examine the blood flow of the common femoral artery in ten young patients with fractures of the lower extremities. Two patients had fractures of both legs. In eight patients the blood flow in the injured leg was comparable with that in the not injured leg. The flow alterations were measured on 3-7 different days over a period of 6-224 days after trauma. All patients showed a significant (to twice or three times that before injury) increase in blood flow in the injured leg a few days after trauma and/or operation, whereas the blood flow in the uninjured leg remained the same or even decreased a little. In the case of undisturbed fracture healing the change in blood flow disappeared within 8-12 weeks, corresponding to fracture consolidation. When fracture healing was delayed and/or further operations on the injured leg were necessary, the blood flow was increased for much longer. The hemodynamics of an injured extremity are compared with those reported elsewhere in the literature. The increased demand for oxygen or energy can explain the changes only in part. Another function of the reflective increase in blood flow could be the temperature increase in the extremity.

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Pattern recognition in five-phase bone scintigraphy: diagnostic patterns of reflex sympathetic dystrophy in adults

et al. 1996

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The objective of this study was to assess qualitative and quantitative patterns of tracer accumulation to increase the diagnostic utility of bone scintigraphy in reflex sympathetic dystrophy (RSD). Of 120 patients with high clinical suspicion for RSD, 96 were confirmed as having RSD during follow-up, while the remaining 24 were used as controls. Clinical parameters were measured and correlated to five activity ratios (0-30 s, 0.5-5 min, 5-15 min, 3 h, 24 h) and five scintigraphic signs. Monitoring three dynamic phases revealed different tracer kinetics of potential diagnostic utility; however, the 24-h bone phase offered no additional diagnostic contribution and can be omitted. Quantification provided objective parameters for the duration of symptoms, pain and impairment of movement but not for surface temperature differences, swelling and impairment of physical force. It is of limited use for diagnosis except for the exclusion of disease. Discriminant analysis revealed the combination of three signs (diffuse uptake in carpus/tarsus+diffuse uptake in all small joints+increased activity ratio in the late blood pool phase) to be the pattern with the highest diagnostic accuracy independent of localisation, sex, age and precipitating factors. It is concluded that the scintigraphic confirmation of RSD is based on lateralisation in the late blood pool phase and the described pattern in the early bone phase.

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Drei-Phasen-Szintigraphie beim Sudeck-Syndrom

Cited by 7 publications

References 0 publications

Three cases of type-1 complex regional pain syndrome after elective total hip replacement

Three cases of type-1 complex regional pain syndrome after elective total hip replacement

Doppler-sonographische durchblutungsmessungen der unteren extremit�t des menschen

Pattern recognition in five-phase bone scintigraphy: diagnostic patterns of reflex sympathetic dystrophy in adults

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