[The value of 3-phase skeletal scintigraphy for early diagnosis of Sudeck disease].
OBJECTIVE
In a prospective study the value of the three-phase bone scintigraphy in the early diagnosis of Sudeck's atrophy was analysed.


METHODS
137 patients with the clinical suspicion on Sudeck's atrophy in stage I were examined. By means of the clinical course and additional examinations (block response), pain experts confirmed the diagnosis separately.


RESULTS
With the findings of hyperperfusion of all 5 phalanges, homogeneous hyperaemia of the affected hand or the foot and periarticular increased uptake of the whole extremity a reliable diagnosis of Sudeck's atrophy was possible. The sensitivity was 95.9%, the specificity 100%. With bone scintigraphy Sudeck's atrophy could be clearly differentiated from an inactivity atrophy.


CONCLUSIONS
Three-phase bone scintigraphy is an excellent tool for the objective diagnosis of Sudeck's atrophy in stage I.
Steinert
H
H
Klinik mit poliklinik für Nuklearmedizin, Universitätsklinikum Mainz.
Hahn
K
K
D000328:Adult; D000368:Aged; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004164:Diphosphonates; D005260:Female; D005528:Foot / Q000098:blood supply; D006225:Hand / Q000098:blood supply; D006801:Humans; D006940:Hyperemia / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D015609:Organotechnetium Compounds; D011446:Prospective Studies; D011877:Radionuclide Imaging; D012016:Reference Values; D012019:Reflex Sympathetic Dystrophy / Q000000981:diagnostic imaging*; D012189:Retrospective Studies
D004164:Diphosphonates; D015609:Organotechnetium Compounds; C033905:technetium Tc 99m 1,1-diphosphonopropane-2,3-dicarboxylic acid
Wertigkeit der Drei-Phasen-Skelettszintigraphie zur Frühdiagnostik des Morbus Sudeck.