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首页> 外文期刊>Annals of Nuclear Medicine >Clinical benefit of SPECT/CT for follow-up of surgical treatment of osteochondritis dissecans
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Clinical benefit of SPECT/CT for follow-up of surgical treatment of osteochondritis dissecans

机译：SPECT / CT在解剖剥离性骨软骨炎手术治疗中的临床价值

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We present the case of a 17-year-old ice-hockey player, who complained about persistent left medial knee pain having undergone a refixation of a grade III osteochondritis dissecans with biodegradable pins, a reconstruction of the anterior cruciate ligament (ACL) and a medial meniscal repair 1 year previously. Sequential MRIs performed 8 and 12 months after surgery were inconclusive, and failed to show the insufficient integration of the osteochondral fragment. Combined single photon emission and conventional computerized tomography (SPECT/CT) clearly revealed the cause of the patient’s persistent knee problems—the osteochondral fragment had not integrated. SPECT/CT may hold great clinical value for symptomatic patients who have previously undergone treatment for osteochondral lesions, and it should be considered as alternative diagnostic imaging modality.
机译：我们介绍了一个17岁的冰上曲棍球运动员的案例，他抱怨持续的左膝盖内侧疼痛经历了可生物降解的销钉固定的III级骨软骨炎剥离器的修复，前十字韧带（ACL）的重建和前半月板内侧修复。手术后8个月和12个月进行的顺序MRI尚无定论，并且未能显示出骨软骨碎片的整合不足。单光子发射和常规计算机断层扫描（SPECT / CT）的结合清楚地揭示了患者持续存在膝盖问题的原因-骨软骨碎片尚未整合。 SPECT / CT对于以前接受过骨软骨病变治疗的有症状患者可能具有重要的临床价值，应将其视为替代性诊断影像学手段。

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