title: Bone scintigraphy in children with persistent pain in an extremity, suggesting algoneurodystrophy.
abstract: In this retrospective study, the data of bone scintigraphy performed in 21 children suspected of reflex sympathetic dystrophy (RSD) were analyzed. All of them had persistent pain in an extremity or a clinical suspicion of RSD. All children with strong suspicion of RSD showed diffuse hypoactivity at the level of the involved area on bone scintigraphy. This hypoactivity was clearly related to a decreased vascular supply. The specificity of this scintigraphic pattern is questionable, however, since two children without suggestive clinical signs for RSD had the same scintigraphic pattern.
authors.affiliation: Medical and Pharmaceutical Research Department, Academic Hospital, Free University of Brussels, Belgium.
authors.forename: C F
authors.initials: CF
authors.lastname: Oud
authors.forename: J
authors.initials: J
authors.lastname: Legein
authors.forename: H
authors.initials: H
authors.lastname: Everaert
authors.forename: H
authors.initials: H
authors.lastname: De Boeck
authors.forename: H
authors.initials: H
authors.lastname: Pintelon
authors.forename: A
authors.initials: A
authors.lastname: Piepsz
mesh_terms: D001132:Arm / Q000000981:diagnostic imaging; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D002648:Child; D005260:Female; D006801:Humans; D007866:Leg / Q000000981:diagnostic imaging; D008297:Male; D010146:Pain / Q000209:etiology*; D011877:Radionuclide Imaging; D012019:Reflex Sympathetic Dystrophy / Q000150:complications / Q000000981:diagnostic imaging*; D012189:Retrospective Studies