Kohler disease: diagnoses and assessment by bone scintigraphy.

Abstract:

:Limping is a frequent occurrence in children and may be caused by various conditions, including trauma, inflammation, infection, and malignancy. Nontraumatic avascular necrosis of the tarsal bones should be included in the differential diagnosis. Accumulated data have supported the superiority of bone scans to radiography in the early diagnosis of avascular necrosis. Bone scintigraphy is a useful tool for investigating pain when symptoms, laboratory examinations, and radiography do not point to a specific diagnosis. In the early phase of disease, bone scans may demonstrate decreased tracer uptake (photopenic region), subsequently a hot area is seen during the reparative process. Although magnetic resonance imaging has important implications in the diagnosis of avascular necrosis, bone scintigraphy with its ready availability has a significant role as a primary tool in the evaluation of a limping child.

journal_name

Clin Nucl Med

authors

Khoury J,Jerushalmi J,Loberant N,Shtarker H,Militianu D,Keidar Z

doi

10.1097/01.rlu.0000255026.52044.85

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

179-81

issue

3

eissn

0363-9762

issn

1536-0229

pii

00003072-200703000-00001

journal_volume

32

pub_type

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