Goldman A B, Pavlov H, Schneider R
AJR Am J Roentgenol. 1982 Mar;138(3):427-32. doi: 10.2214/ajr.138.3.427.
The radionuclide bone scan is a noninvasive screening procedure which can help in identifying or confirming subtalar coalitions in patients with foot and/or ankle pain of unknown origin in whom routine plain film studies are inconclusive. Five patients (seven symptomatic feet) with clinical and plain film findings suggesting a subtalar coalition are presented. The radionuclide bone scans in four patients (six feet) with documented subtalar coalitions demonstrated augmented uptake in the subtalar joint in all six feet and a secondary area of augmented concentration in the superior aspect of the talus or talonavicular joint in five feet. The radionuclide bone scan was normal in the one patient who was later proved not to have a coalition. The scans of 100 patients with foot pain of other etiologies were reviewed, and in no instance did the scan demonstrate the combination of subtalar and talus or talonavicular uptake observed in the patients with coalitions.
放射性核素骨扫描是一种非侵入性的筛查方法，对于常规X线平片检查结果不明确、足部和/或踝关节疼痛原因不明的患者，该检查有助于识别或确诊距下关节联合。本文介绍了5例（7只患足）临床及X线平片表现提示距下关节联合的患者。4例（6只足）经证实存在距下关节联合的患者，其放射性核素骨扫描显示，所有6只患足的距下关节摄取增加，5只患足的距骨或距舟关节上方出现继发性摄取增加区域。1例后来证实不存在关节联合的患者，其放射性核素骨扫描结果正常。回顾了100例其他病因导致足部疼痛患者的扫描结果，在任何情况下，扫描均未显示出在关节联合患者中观察到的距下关节与距骨或距舟关节摄取增加的组合情况。
