Pediatr Radiol (2018) 48:350–358 https://doi.org/10.1007/s00247-017-4030-7 ORIGINAL ARTICLE Evaluation of femoral head viability via bone scintigraphy in the postoperative pediatric patient 1 2 3 Ashishkumar K. Parikh & Eleby R. Washington IV & Adam J. Bobbey & Stephanie E. Spottswood Received: 11 June 2017 /Revised: 16 September 2017 /Accepted: 3 November 2017 /Published online: 27 November 2017 Springer-Verlag GmbH Germany, part of Springer Nature 2017 Abstract avascular necrosis, defined as “absent” or “moderately dimin- Background Evaluating postoperative patients with hardware is ished” femoral head activity, which were confirmed intraop- challenging following surgical intervention for hip maladies such eratively and resulted in poor outcomes. as femoral neck fractures and slipped capital femoral epiphysis Conclusion Radionuclide imaging of hips in the postopera- (SCFE). These children are at increased risk of developing avas- tive setting is a valuable modality for assessing the risk of cular necrosis, and imaging may be requested to confirm or avascular necrosis, a complication of femoral neck fractures exclude this diagnosis. Children with Legg-Calvé-Perthes dis- and SCFE and for evaluating the restoration of flow to the ease can be monitored for restoration of blood flow to the capital capital femoral epiphyses of children with Legg-Calvé- femoral epiphysis to guide
Pediatric Radiology – Springer Journals
Published: Nov 27, 2017
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