Holder L E
Department of Radiology, Children's Hospital, Baltimore, Maryland.
Radiol Clin North Am. 1993 Jul;31(4):739-81.
This article emphasizes the usefulness of radionuclide bone imaging (RNBI) throughout the clinical spectrum of osseous trauma and relates RNBI to the other imaging modalities available. Acute, stress, insufficiency, avulsion, and occult fracture detection are discussed and illustrated. Other traumatic lesions including the bone bruise, shin splints, tendinitis and epiphyseal injuries are included. Biomechanical lesions, the result of more chronic low level repetitive stress are discussed in detail, as is the use of RNBI in the detection of post-traumatic sequela such as the reflex sympathetic dystrophy syndrome. Technical aspects of RNBI are considered in the context of producing the quality of diagnostic images necessary for clinically complete consultative reporting.
本文强调了放射性核素骨显像（RNBI）在骨创伤整个临床范围内的实用性，并将RNBI与其他可用的成像方式进行了关联。文中讨论并举例说明了急性急性急性骨折、应力性骨折、不全骨折、撕脱骨折和隐匿性骨折的检测。还包括了其他创伤性病变，如骨挫伤、胫骨骨膜炎、肌腱炎和骨骺损伤。详细讨论了由更慢性的低水平重复性应力导致的生物力学损伤，以及RNBI在检测创伤后后遗症（如反射性交感神经营养不良综合征）中的应用。在生成临床完整咨询报告所需的高质量诊断图像的背景下，考虑了RNBI的技术方面。
