Gaucher A, Colomb J N, Naoun A, Netter P, Faure G, Pourel J, Robert J
Rev Rhum Mal Osteoartic. 1978 Nov;45(11):641-8.
Morphological and quantitative studies of the uptake of diphosphonates labelled with technetium 99m were done on 179 pathological hips : 106 aseptic osteonecroses of the femoral head, including 20 at an early stage, 11 algodystrophias (transitory osteoporoses of the hip), 20 coxarthrosis, 16 cases of Paget's disease, 12 isolated malignant lesions of the femoral neck. The location, extent and intensity of the uptake are very variable and depend not only on the etiology of the lesions but also on their stage of evolution. Bone scintigraphy provides, for numerous pathological hips, pieces of information which complete the results of the clinical, radiological and biological study, with which it should always be compared. It can shed light on the etiologic diagnosis of a painful hip at the beginning of its evolution, before the appearance of rare x-ray signs, thanks to certain very precise characteristics of the labelling. This is the case for algdystrophias, osteonecroses, coxitis and strain fractures of the femoral neck.
对179例病变髋关节进行了锝99m标记双膦酸盐摄取的形态学和定量研究：106例股骨头无菌性坏死，其中20例处于早期，11例反射性交感神经营养不良（髋关节暂时性骨质疏松），20例髋关节炎，16例佩吉特病，12例股骨颈孤立性恶性病变。摄取的部位、范围和强度变化很大，不仅取决于病变的病因，还取决于其演变阶段。骨闪烁显像为众多病变髋关节提供了补充临床、放射学和生物学研究结果的信息，应始终将其与之进行比较。由于标记的某些非常精确的特征，在罕见的X线征象出现之前，它可以在疼痛性髋关节演变初期揭示其病因诊断。反射性交感神经营养不良、骨坏死、髋关节炎和股骨颈应力性骨折就是这种情况。
