亚临床踝关节结核性关节炎——骨闪烁成像的作用：病例系列
Subclinical ankle joint tuberculous arthritis - The role of scintigraphy: A case series.
作者信息
Primadhi Raden Andri, Kartamihardja Achmad Hussein Sundawa
机构信息
Department Orthopaedics and Traumatology, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung 40161, Indonesia.
Departement of Nuclear Medicine and Molecular Imaging, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung 40161, Indonesia.
出版信息
World J Orthop. 2023 Apr 18;14(4):260-267. doi: 10.5312/wjo.v14.i4.260.
BACKGROUND
Tuberculosis remains a complicated problem. A lack of awareness accompanied by difficulty in diagnosis hinders the management of tuberculosis. Delayed management, particularly in osteoarticular regions, results in unnecessary procedures, including joint-sacrificing surgery.
CASE SUMMARY
Three cases of subclinical ankle joint tuberculosis without clear signs of tuberculosis were presented. The efficacy of technetium-99m-ethambutol scintigraphy in diagnosing early-stage tuberculous arthritis is reported.
CONCLUSION
The reports suggested that scintigraphy is recommended to diagnose subclinical tuberculous arthritis, especially in tuberculosis endemic regions.
背景
结核病仍然是一个复杂的问题。认识不足以及诊断困难阻碍了结核病的管理。管理延迟，尤其是在骨关节区域，会导致不必要的手术，包括关节置换手术。
病例摘要
本文报告了3例无明显结核体征的亚临床踝关节结核病例。报道了99m锝-乙胺丁醇闪烁扫描术在诊断早期结核性关节炎中的疗效。
结论
这些报告表明，推荐使用闪烁扫描术诊断亚临床结核性关节炎，尤其是在结核病流行地区。
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