Faculty Collaboration Database

High-resolution bone scintigraphy of the adult wrist. Clin Nucl Med 1992 Jun;17(6):449-53

Date

06/01/1992

Pubmed ID

1617837

DOI

10.1097/00003072-199206000-00004

Scopus ID

2-s2.0-0026647958 (requires institutional sign-in at Scopus site)   14 Citations

Abstract

Bony anatomic landmarks of the wrist (e.g., pisiform, hook of hamate, radioulnar joint, and styloid processes of the radius and ulna) were routinely identified in 28 adult patients examined for wrist pain. With the wrists prone and immobilized, bone scintigrams were obtained for 500,000 counts with an asymmetric (133 to 161 keV) Tc-99m energy window and either a converging (best choice) or straight-bore, high-resolution collimator. High-resolution scintigraphy precisely localized degenerative joint disease (nine patients), scaphoid fractures (five), pisiform fracture (one), lunate avascular necrosis (one), radioulnar arthritis (one), septic or inflammatory arthritis (six), ulnocarpal impingement (two), and reflex sympathetic dystrophy syndrome (two). Images obtained palm down with the wrist in ulnar deviation helped identify increased uptake within the scaphoid. Fracture and significant bone or joint disease were excluded in one patient.

Author List

Patel N, Collier BD, Carrera GF, Hanel DP, Sanger JR, Matloub HS, Hackbarth DA, Krasnow AZ, Hellman RS, Isitman AT

Authors

Donald A. Hackbarth Jr MD Adjunct Professor in the Orthopaedic Surgery department at Medical College of Wisconsin
James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Carpal Bones
Female
Fractures, Bone
Humans
Joint Diseases
Male
Radionuclide Imaging
Technetium Tc 99m Medronate
Wrist
Wrist Injuries
Wrist Joint