Bone scintigraphy in chronic knee pain: comparison with magnetic resonance imaging

This is a case report detailing the use of in-office needle arthroscopy (mi-eye 2™) in a patient with chronic knee pain and inconclusive magnetic resonance imaging findings. The patient is a 40-year-old male who presented to our clinic after an extended history of right knee pain along the medial aspect with previous failed treatments. Magnetic resonance imaging without contrast had demonstrated full-thickness chondral fissuring of the lateral patellar facet, mild abnormal signals of the proximal patellar tendon and Hoffa’s fat pad, and intact anterior cruciate ligament and posterior cruciate ligament. The patient was previously treated with an ultrasound-guided injection of 2 cm3 of 1% lidocaine without epinephrine and 1 cm3 of Kenalog-40 and scheduled for follow-up. At follow-up, clinical examination showed antalgic gait, minimal tenderness along medial joint line, medial pain in deep flexion, and no pain when in varus or valgus. Due to continued discomfort with a negative magnetic resonance imaging, in-office diagnostic arthroscopy was performed using mi-eye 2 revealing a tear of the mid-body of the medial meniscus. The patient subsequently underwent arthroscopic repair and is recovering well with complete resolution of medial joint pain. This report highlights the clinical utility of in-office diagnostic arthroscopy in the management of patients with persistent knee pain and negative or equivocal findings on magnetic resonance imaging.

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Magnetic resonance imaging versus bone scintigraphy in suspected scaphoid fracture

European Journal of Nuclear Medicine ◽

10.1007/bf01084373 ◽

1996 ◽

Vol 23 (8) ◽

pp. 971-975 ◽

Cited By ~ 35

Author(s):

M. M. C. Tiel-van Buul ◽

W. Roolker ◽

B. W. B. Verbeeten ◽

A. H. Broekhuizen

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Bone Scintigraphy ◽

Scaphoid Fracture ◽

Resonance Imaging ◽

Suspected Scaphoid Fracture

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A Comparison of Magnetic Resonance Imaging to Bone Scintigraphy in Early Traumatic Ischemia of the Femoral Head

Clinical Orthopaedics and Related Research ◽

10.1097/00003086-199212000-00006 ◽

1992 ◽

Vol &NA; (285) ◽

pp. 30???34 ◽

Cited By ~ 1

Author(s):

LOUIS J. RULAND ◽

GWO-JAW WANG ◽

CHARLES D. TEATES ◽

SPENCER GAY ◽

ARIE RIJKE

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Femoral Head ◽

Bone Scintigraphy ◽

Resonance Imaging

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Magnetic resonance imaging and bone scintigraphy in bone metastasis detection: A comparative study

Vojnosanitetski pregled ◽

10.2298/vsp1006453l ◽

2010 ◽

Vol 67 (6) ◽

pp. 453-458 ◽

Cited By ~ 2

Author(s):

Silvija Lucic ◽

Katarina Nikoletic ◽

Andrea Peter ◽

Milos Lucic ◽

Dusan Jovanovic

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Bone Metastasis ◽

Bone Scintigraphy ◽

Regions Of Interest ◽

Diagnostic Methods ◽

Whole Body ◽

Resonance Imaging ◽

Mutual Correlation ◽

Diagnostic Potential

Background/Aim. Bone scintigraphy is well-known method for the detection of neoplastic lesions with a high sensitivity and, at the same time, a lower specificity. On the other hand magnetic resonance imaging (MRI) is previously established noninvasive imaging method regarding its diagnostic specificity. The aim of this study was to determine the possibilities and to correlate two different diagnostic methods - bone scintigraphy and MRI in the detection of bone metastasis in the spine and pelvic bones. Methods. A total of 123 patients who underwent both bone scintigraphy and spine and pelvic MRI on 1.5 T MR imager were enrolled in this study. Scans were subsequently analyzed in total and divided in regions of interest (cervical, upper, middle and lower thoracic, upper and lower lumbar and pelvic region, which includes sacral spinal segment); afterwards the total number of 585 matching regions were compared and statistically analyzed. Results. The statistical analysis demonstrated significant correlation between the findings of both methods in total. Divided by regions of interest, significant degrees of correlation were demonstrated in all of them, except in the cervical spine region where the r-value was in the range of low correlation. Conclusion. Having a high mutual correlation, bone scintigraphy and MRI are to be considered as the complementary diagnostic methods in the detection of bone metastases. Still, increased diagnostic potential of MRI may highlights negative bone scintigraphy findings in the patients with solitary metastatic lesions or diffuse vertebral infiltration. Advances in the bone scintigraphy (single photon emission tomography - SPECT, SPECTcomputed tomography - SPECT-CT) and MRI (whole body MRI, diffusion MRI), make it possible the diagnostic potential of both methods will result in a further improvement in bone metastasis detection.

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Brodie Abscess

Journal of radiology and medical imaging ◽

10.33582/2637-885x/1058 ◽

2021 ◽

Vol 4 (2) ◽

Author(s):

Abdishakur Mohamed ◽

◽

Vinay Gangadharan ◽

Sukhdeep Jutla ◽

◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Knee Pain ◽

Bacterial Culture ◽

Plain Radiography ◽

Systemic Response ◽

Resonance Imaging ◽

Insidious Onset

Brodie abscess is a relatively rare subacute form of osteomyelitis that is difficult to diagnose due to its insidious onset and limited initial systemic response. We present a case of Brodie abscess in a person with knee pain, swelling and antalgic gait. Diagnosis was made initially using plain radiography, this was supported by magnetic resonance imaging and confirmed on bacterial culture of the surgical samples.

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Appropriateness of magnetic resonance imaging requested by primary care physicians for patients with knee pain

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzy067 ◽

2018 ◽

Vol 30 (7) ◽

pp. 565-570 ◽

Cited By ~ 1

Author(s):

J M Gómez-García ◽

F J Gómez-Romero ◽

M Arencibia-Jiménez ◽

J F Navarro-Gracia ◽

M Sánchez-Mollá

Keyword(s):

Magnetic Resonance Imaging ◽

Primary Care ◽

Magnetic Resonance ◽

Knee Pain ◽

Primary Care Physicians ◽

Resonance Imaging

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Intra-articular venous malformation of the knee in children: magnetic resonance imaging findings and significance of synovial involvement

Pediatric Radiology ◽

10.1007/s00247-019-04580-5 ◽

2019 ◽

Vol 50 (4) ◽

pp. 509-515 ◽

Cited By ~ 1

Author(s):

Katariina A. Mattila ◽

Johanna Aronniemi ◽

Päivi Salminen ◽

Risto J. Rintala ◽

Kristiina Kyrklund

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Knee Pain ◽

Venous Malformation ◽

Cartilage Damage ◽

Venous Malformations ◽

Resonance Imaging ◽

Cutaneous Manifestations ◽

Timely Diagnosis ◽

Clinical Awareness

Abstract Background Intra-articular venous malformations of the knee are an uncommon cause of unilateral knee pain in children. Timely diagnosis is important because lesions with intrasynovial involvement can lead to joint space hemorrhage and secondary cartilage damage. Objective To describe our tertiary center’s experience of diagnostics and typical magnetic resonance imaging (MRI) findings. Materials and methods A retrospective review of all patients ≤16 years of age managed for intra-articular venous malformations of the knee at our institution between 2002 and 2018. Results Of 14 patients (8 male), the mean age at presentation was 6 years (range: 0–14 years). The most common clinical findings were unilateral knee pain (93%), joint swelling (79%), quadriceps atrophy (50%) and a limited range of motion (29%). Cutaneous manifestations were present in four patients (29%). Contrast-enhanced MRI was available in all cases. After initial MRI, a vascular anomaly etiology had been identified in 11 cases (79%), and correctly reported as a venous malformation in 6 (55%). Three patients received entirely different diagnoses (arthritis, tumor or pigmented villonodular synovitis). Three of seven patients with intrasynovial lesions had established chondropathy at diagnosis. Two patients with lesions of the suprapatellar fat pad had intrasynovial involvement that was not visualised on MRI. Conclusion Although MRI usually permits the diagnosis, clinical awareness of these lesions is important for optimal imaging, accurate interpretation and timely diagnosis. Involvement of the intrasynovial cavity carries a risk of hemarthrosis and progressive chondropathy that may be underestimated by MRI.

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