Arthroscintigraphic evaluation of the painful total hip prosthesis

Arthroscintigraphy was performed in 19 patients with a painful total hip prosthesis by injecting both Tc-99m sulfur colloid and iodinated radiographic contrast material intra-articularly. Scintigraphic and radiographic results correlated exactly in 15 patients, with one false-negative scintigram, on...

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Bibliographic Details
Published inClinical nuclear medicine Vol. 11; no. 4; p. 242
Main Authors Resnik, C S, Fratkin, M J, Cardea, J A
Format Journal Article
LanguageEnglish
Published United States 01.04.1986
Subjects
Arthrography
Hip Joint - diagnostic imaging
Hip Prosthesis
Humans
Pain - etiology
Prosthesis Failure
Radionuclide Imaging
Technetium Tc 99m Sulfur Colloid
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Summary:Arthroscintigraphy was performed in 19 patients with a painful total hip prosthesis by injecting both Tc-99m sulfur colloid and iodinated radiographic contrast material intra-articularly. Scintigraphic and radiographic results correlated exactly in 15 patients, with one false-negative scintigram, one false-positive scintigram, and one false-negative arthrogram. One patient was evaluated by scintigraphy alone. Although arthroscintigraphy is potentially more sensitive than conventional arthrography in the detection of femoral component loosening, acetabular component loosening cannot be evaluated by scintigraphy alone. A combination of scintigraphy and conventional arthrography appears to be the most accurate imaging method in the evaluation of hip prosthesis loosening.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-198604000-00004