Abnormally increased uptake in the palm and the thumb as the result of a bone imaging agent injection into the radial artery.
The "glove" phenomenon is caused by arterial injection of a bone-imaging agent into the antecubital fossa. The authors describe a patient who incidentally received an arterial injection of bone-imaging agent into the right distal radial artery near the wrist, which resulted in a "hot" palm and thumb. The phenomenon of hot palm and thumb can be explained by normal anatomic-physiologic blood flow after radial artery injection. The radial artery contributes the blood supply to the thumb through the dorsal metacarpal arteries of the first metacarpals, and the dorsal carpal branch of the radial artery, a branch of the interosseous artery, and dorsal carpal branch of the ulnar artery form the dorsal carpal rete. The normal vascular anatomic-physiologic dynamic constituted the mixture and dilution effects after the distal radial artery injection that resulted in hot areas limited to the palm and thumb of the hand on bone scintigraphy.
Shih
W J
WJ
Nuclear Medicine Service, Lexington Veterans Medical Center, Kentucky 40511, USA.
Wienrzbinski
B
B
Ryo
U Y
UY
D000368:Aged; D001842:Bone and Bones / Q000000981:diagnostic imaging; D006225:Hand / Q000000981:diagnostic imaging*; D006801:Humans; D007269:Injections, Intra-Arterial; D008297:Male; D017534:Radial Artery; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals / Q000008:administration & dosage; D013669:Technetium Tc 99m Medronate / Q000008:administration & dosage / Q000031:analogs & derivatives*; D013933:Thumb / Q000000981:diagnostic imaging*
D019275:Radiopharmaceuticals; C024226:technetium Tc 99m hydroxymethylene diphosphonate; D013669:Technetium Tc 99m Medronate