Document Detail

Osteonecrosis of the tibial plateau.
MedLine Citation:
PMID:  9641503     Owner:  NLM     Status:  MEDLINE    
The clinical, radiographic and scintigraphic findings in 12 patients diagnosed with osteonecrosis of the tibial plateau (10 of the medial and two of the lateral plateau) were analysed. The disease presented suddenly in most of the patients, as acute pain in the lateral side of the knee, with no major traumatic antecedents. X-ray findings were varied and non-specific, and hence of little value for initial diagnosis. On the other hand, scintigraphic findings were very useful for diagnostic purposes in all cases. All the patients were over 55 years of age and 11 out of 12 were women. The most frequent location of the disease was the medial tibial plateau; however, two cases involved the lateral plateau and two involved both plateaux. Seven patients were subjected to full knee arthroplasty, four to valgising osteotomy and one to grafting. The patients' diagnoses were considerably delayed (by more than 6 months), which affected their treatment and prognosis.
P Carpintero-Benitez; E Collantes-Estevez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical rheumatology     Volume:  17     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  1998  
Date Detail:
Created Date:  1998-08-11     Completed Date:  1998-08-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  95-8     Citation Subset:  IM    
Department of Orthopaedic Surgery, Medical School, University of Córdoba, Reina Sofía University Hospital, Spain.
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MeSH Terms
Knee Joint / pathology*,  radiography,  radionuclide imaging
Middle Aged
Osteonecrosis / diagnosis*,  radiography,  radionuclide imaging
Radionuclide Imaging
Retrospective Studies
Technetium Tc 99m Medronate
Tibia / pathology*,  radiography,  radionuclide imaging
Reg. No./Substance:
63347-66-0/Technetium Tc 99m Medronate

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