Herndon W A, Alexieva B T, Schwindt M L, Scott K N, Shaffer W O
J Pediatr Orthop. 1985 May-Jun;5(3):343-7. doi: 10.1097/01241398-198505000-00017.
We retrospectively reviewed all patients who underwent bone scanning for possible osteomyelitis at the Naval Regional Medical Center (Portsmouth, VA, U.S.A.) between 1980 and 1983. Among 63 children, there were 20 sites of osteomyelitis. We were able to conclude that a high proportion of neonates with septic arthritis will have osteomyelitis and that bone scan is not helpful in this age group. Nuclear imaging of the foot was less reliable than imaging of the remainder of the extremities. The bone scan can be a useful adjunct in the diagnosis of osteomyelitis in certain children, but is not a substitute for an accurate clinical examination and appropriate workup.
我们回顾性分析了1980年至1983年间在美国弗吉尼亚州朴茨茅斯海军地区医疗中心因可能患有骨髓炎而接受骨扫描的所有患者。在63名儿童中，有20处骨髓炎病灶。我们可以得出结论，患有脓毒性关节炎的新生儿中，很大一部分会患有骨髓炎，而且骨扫描对这个年龄组并无帮助。足部的核成像不如四肢其他部位的成像可靠。骨扫描在某些儿童骨髓炎的诊断中可以作为一种有用的辅助手段，但不能替代准确的临床检查和适当的检查流程。
