Transient Ischemia of the Distal Femur and Proximal Tibia in a 19-Year-Old Man

A 19-year-old man with neither trauma nor predisposing factors to nontraumatic osteonecrosis developed increasing pain in both knees. Radiographs of both knees and arthroscopy of the left knee were normal. Bone scintigraphy initially showed reduced activity distal to the epiphyseal line in both femo...

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Veröffentlicht in:Clinical nuclear medicine 1998-03, Vol.23 (3), p.190-190
Hauptverfasser: ZERAHN, BO, KANSTRUP, INGE-LIS, LAUSTEN, GUNNAR SCHWARZ
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container_title Clinical nuclear medicine
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creator ZERAHN, BO
KANSTRUP, INGE-LIS
LAUSTEN, GUNNAR SCHWARZ
description A 19-year-old man with neither trauma nor predisposing factors to nontraumatic osteonecrosis developed increasing pain in both knees. Radiographs of both knees and arthroscopy of the left knee were normal. Bone scintigraphy initially showed reduced activity distal to the epiphyseal line in both femora. Core biopsies from the distal part of the left femur six months after the onset of pain showed partial osteonecrosis with signs of revascularization. The patient was treated with partial weight-bearing and physiotherapy. Recovery followed after 26 months. We suggest that the symptoms were linked with the epiphyseal closure in the distal femur and proximal tibia.
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Radiographs of both knees and arthroscopy of the left knee were normal. Bone scintigraphy initially showed reduced activity distal to the epiphyseal line in both femora. Core biopsies from the distal part of the left femur six months after the onset of pain showed partial osteonecrosis with signs of revascularization. The patient was treated with partial weight-bearing and physiotherapy. Recovery followed after 26 months. 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subjects Adult
Biological and medical sciences
Femur - blood supply
Femur - diagnostic imaging
Humans
Investigative techniques, diagnostic techniques (general aspects)
Ischemia - diagnostic imaging
Male
Medical sciences
Osteoarticular system. Muscles
Radionuclide Imaging
Radionuclide investigations
Tibia - blood supply
Tibia - diagnostic imaging
title Transient Ischemia of the Distal Femur and Proximal Tibia in a 19-Year-Old Man
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