Diagnostic Role of Bone Scintigraphy in Patients with Rheumatoid Arthritis during Hip Arthroplasty

P.O. Korol, M.M. Tkachenko, V.K. Bondar

Abstract


Introduction. Rheumatoid arthritis is one of the most common chronic inflammatory joint diseases. The prevalence of the disease among adults in different countries of the world ranges from 0.6 to 5 %. People of working age suffer more often. The peak incidence occurs in the 40–50 years, while women suffer 2–4 times more often than men. The incidence of rheumatoid arthritis in women increases after 30 years, reaching the greatest figures in the 45–75 years. Objective: to determine the diagnostic role of bone scintigraphy in patients with rheumatoid arthritis during hip replacement. Material and methods. Bone scintigraphy was performed on single-head tomographic scintillation gamma camera Tamara-301 T after intravenous injection of 99m-Tc-pyrophosphate with activity of 550–770 MBq. Results. All patients were divided into three diagnostic groups. The first group included 34 (45 %) patients, in whom radiopharmaceutical accumulation in the projection of the affected joint was +10–80 %; the second one — 27 (36 %) patients, in which the indicator accumulation in the projection of the affected joint was + 81–150 %; the third group consisted of 13 (19 %) patients with indicator accumulation in the projection of the affected joint more than +150 %. One year after arthroplasty of the affected knee joint, postoperative complications weren’t detected in patients of the first diagnostic group. Three (11 %) patients of the second diagnostic group and 19 (30 %) patients from the third diagnostic group developed implant-associated infectious complications one year after the hip arthroplasty. Conclusions. The higher the percentage of radiopharmaceutical inclusion in the projection of a joint affected by rheumatoid arthritis during bone scintigraphy in the preoperative period, the higher the likelihood of implant-related complications after arthroplasty (p < 0.05).


Keywords


bone scintigraphy; rheumatoid arthritis; hip joints; arthroplasty

References


Герасименко А.С. Ендопротезування кульшових та колінних суглобів у хворих на ревматоїдний артрит при їх одночасному ураженні // Травма. — Т. 15, № 3. — С. 102-107.

Пріоритети вибору інструментальних методів дослідження в діагностичному скринінгу при ендопротезуванні кульшових суглобів / Ткаченко М.М., Король П.О. // Променева діагностика, променева терапія. — 2015. — № 2. — С. 34-36.

Черняк В.П. Ендопртезування колінного суглоба у хворих на ревматоїдний артрит: Авторефер. дис... канд. мед. наук. — К., 2008.

Hybrid 18F-FDG PET-MRI of the hand in rheumatoid arthritis: initial results // F. Miese, A. Scherer, B. Ostendorf [et al.] // Clin. Rheumatol. — 2011. — Vol. 30, № 19. — P. 1247-1250.

Periarticular bone structure in rheumatoid arthritis patients and healthy individuals assessed by hight-resolution computed tomography / C.M. Stach, M. Bauerle, M. Englbrecht [et al.] // Arthritis rheum. — 2010. — Vol. 62, № 2. — P. 330-339.

Rheumatoid arthritis: nuclear medicine state-of-the-art imaging / P.H. Rosado-de-Castro, S.A. Lopes de Souza, D. Aleхandre [et al.] // World J. Orthop. — 2014. — Vol. 5, № 3. — P. 312-318.

Sendi P. Challenges in periprosthetic knee-joint infection / P. Sendi, W. Zimmerli // Int. J. Organs. — 2011. — Vol. 34, № 9. — P. 947-956.

Sewerin P. New imaging procedures in rheumatology: from bench to bedside / P. Sewerin, B. Ostendorf // Dtsch Med. Wochenschr. — 2014. — Vol. 139, № 37. — P. 1835-1841.

Sugimoto H. Imaging of rheumatoid arthritis: role of MR imaging and CT / H. Sugimoto // Nihon. Rinsho. — 2013. — Vol. 71, № 7. — P. 1193-1197.

Synovitis and bone inflammation in early rheumatoid arthritis: high-resolution multi-pinhole SPECT versus MRI / C. Buchbender, B. Ostendorf, K. Mattes-Gyorgy [et al.] // Diagn. Inerv. Radiol. — 2013. — Vol. 19, № 1. — P. 20-24.

The main surgical cfriteria of bone scintigraphy at the hip arthroplasty / P. Korol, M. Tkachenko // Science in the modern information society. — North Charleston, USA, 2015. — Vol. 1. — P. 42-44.




DOI: https://doi.org/10.22141/1608-1706.5.17.2016.83873

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 TRAUMA

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2017

 

 Яндекс.МетрикаSeo анализ сайта Рейтинг@Mail.ru