TY - JOUR
T1 - Kohler disease
T2 - Diagnoses and assessment by bone scintigraphy
AU - Khoury, Jabour
AU - Jerushalmi, Jacqueline
AU - Loberant, Norman
AU - Shtarker, Haim
AU - Militianu, Daniela
AU - Keidar, Zohar
PY - 2007/3
Y1 - 2007/3
N2 - 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.
AB - 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.
KW - Avascular necrosis
KW - Bone scintigraphy
KW - MRI
KW - Tarsal navicular
UR - http://www.scopus.com/inward/record.url?scp=33847185869&partnerID=8YFLogxK
U2 - 10.1097/01.rlu.0000255026.52044.85
DO - 10.1097/01.rlu.0000255026.52044.85
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C2 - 17314590
AN - SCOPUS:33847185869
SN - 0363-9762
VL - 32
SP - 179
EP - 181
JO - Clinical Nuclear Medicine
JF - Clinical Nuclear Medicine
IS - 3
ER -