• Rofo · Apr 1996

    [The value of 3-phase skeletal scintigraphy for early diagnosis of Sudeck disease].

    • H Steinert and K Hahn.
    • Klinik mit poliklinik für Nuklearmedizin, Universitätsklinikum Mainz.
    • Rofo. 1996 Apr 1; 164 (4): 318-23.

    PurposeIn a prospective study the value of the three-phase bone scintigraphy in the early diagnosis of Sudeck's atrophy was analysed.Material And Methods137 patients with the clinical suspicion on Sudeck's atrophy in stage I were examined. By means of the clinical course and additional examinations (block response), pain experts confirmed the diagnosis separately.ResultsWith the findings of hyperperfusion of all 5 phalanges, homogeneous hyperaemia of the affected hand or the foot and periarticular increased uptake of the whole extremity a reliable diagnosis of Sudeck's atrophy was possible. The sensitivity was 95.9%, the specificity 100%. With bone scintigraphy Sudeck's atrophy could be clearly differentiated from an inactivity atrophy.ConclusionThree-phase bone scintigraphy is an excellent tool for the objective diagnosis of Sudeck's atrophy in stage I.

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