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Femoroacetabular impingement mimicking avascular osteonecrosis on bone scintigraphy

机译:闪烁扫描模拟股骨头坏死的髋臼前突

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摘要

Femoroacetabular impingement (FAI) is a structural abnormality of proximal femur and/or acetabulum. It has been recently described, and there are limited reports in nuclear medicine literature because bone scintigraphy is not listed in its diagnostic protocol, but it should be included on differential diagnosis when evaluating patients, with hip-related symptoms because it may be misinterpreted as degenerative changes or avascular necrosis, and its early treatment avoid progression to osteoarthritis. We describe the case of a male who suffered from hip pain. Bone planar scintigraphic appearance mimicked avascular necrosis, but single photon emission computed tomography (CT) imaging and CT examination confirmed the diagnosis of FAI.
机译:髋臼前冲(FAI)是股骨近端和/或髋臼的结构异常。最近已有描述,并且在核医学文献中报道很少,因为骨闪烁显像术未列入诊断规程中,但在评估具有髋关节相关症状的患者时,应将其包括在鉴别诊断中,因为它可能被误解为变性改变或无血管坏死,其早期治疗可避免发展为骨关节炎。我们描述了一个患有髋关节疼痛的男性病例。骨平面闪烁显像模仿了血管坏死,但单光子发射计算机断层扫描(CT)成像和CT检查证实了FAI的诊断。

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