Document Detail


Clinical benefit of SPECT/CT for follow-up of surgical treatment of osteochondritis dissecans.
MedLine Citation:
PMID:  20544322     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the case of a 17-year-old ice-hockey player, who complained about persistent left medial knee pain having undergone a refixation of a grade III osteochondritis dissecans with biodegradable pins, a reconstruction of the anterior cruciate ligament (ACL) and a medial meniscal repair 1 year previously. Sequential MRIs performed 8 and 12 months after surgery were inconclusive, and failed to show the insufficient integration of the osteochondral fragment. Combined single photon emission and conventional computerized tomography (SPECT/CT) clearly revealed the cause of the patient's persistent knee problems-the osteochondral fragment had not integrated. SPECT/CT may hold great clinical value for symptomatic patients who have previously undergone treatment for osteochondral lesions, and it should be considered as alternative diagnostic imaging modality.
Authors:
Praveen Konala; Farhad Iranpour; Anna Kerner; Helmut Rasch; Niklaus F Friederich; Michael T Hirschmann
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-11
Journal Detail:
Title:  Annals of nuclear medicine     Volume:  24     ISSN:  1864-6433     ISO Abbreviation:  Ann Nucl Med     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-18     Completed Date:  2011-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8913398     Medline TA:  Ann Nucl Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  621-4     Citation Subset:  IM    
Affiliation:
Musculoskeletal Surgery Department, Imperial College, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Osteochondritis Dissecans / diagnosis*,  radiography,  radionuclide imaging,  surgery*
Tomography, Emission-Computed, Single-Photon*
Tomography, X-Ray Computed*

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