Tc-99m-MDP scintigraphy not informative in painful total hip arthroplasty.
In 61 painful cemented total hip arthroplasties the diagnostic specificity was 0.7 for plain radiography and 0.46 for scintigraphy. The diagnostic sensitivity was 0.97 for radiography and 0.77 for scintigraphy. False negative radiology occurred in 0.05 and false positive in 0.23. False negative scintigraphy was encountered in 0.27 and false positive in 0.49. Seven of thirty-nine hips were operatively explored because of false positive scintigraphy. In conclusion, Tc-99m-MDP scintigraphy could not used as a complementary diagnostic measure in our hands.
Jensen
J S
JS
Department of Orthopedics U, University of Copenhagen, Copenhagen, Denmark.
Madsen
J L
JL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006621:Hip Joint / Q000000981:diagnostic imaging*; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011237:Predictive Value of Tests; D011859:Radiography; D011877:Radionuclide Imaging; D012680:Sensitivity and Specificity; D013669:Technetium Tc 99m Medronate
D013669:Technetium Tc 99m Medronate