Our Experience with Three-phase Scintigraphy of Elbows for Assessing Occupational Entesopathies
Slepička J.1, Macháček I.1, Havlásková J.1, Filip E.1, Kraft O.2, Kosek V.3
1Klinika chorob z povolání Fakultní nemocnice s poliklinikou, Ostrava, přednostka MUDr. Zdeňka Hajduková 2Klinika nukleární medicíny Fakultní nemocnice s poliklinikou, Ostrava, přednosta MUDr. Otakar Kraft 3Oddělení zdravotnických informací a analýz Fakultní nemocnice s poliklinikou, Ostrava, vedoucí ing. Alois Pinďák |
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Summary:
The authors examined 83 patients by the three-phase scintigraphy of elbows between 1998 and 2003. They found out chronic
entesopathies in 71 patients of the sample referred to the orthopaedic examination due to suspected disease of upper extremities due
to overload. The three-phase scintigraphy was positive only in 46 % of patients examined. The significant correspondence of
clinical and scintigraphy findings was not found neither in ulnar nor radial entesopathies including their concurrence. As concerns
additional diagnoses, the syndrome of carpal tunnel was found in 32 % of patients and arthrotic changes on elbow joints in 20 % of
patients – there were mild nonsignificant changes.
Positive correlation between orthopaedic and scintigraphy findings was neither found in next 12 patients referred by the
orthopaedic specialist to the scintigraphy without suspicion on occupational origin.
Authors conclude that further detailed follow-up in a larger sample is necessary. They do not doubt the diagnostic contribution
of the three-phase scintigraphy, however they think that this method should not be the main criterion in diagnosing entesopathies of
elbows currently.
Key words:
entesopathy, three-phase scintigraphy of elbows, overloading upper extremities, occupational disease
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