title: A technical complication of radiosynovectomy in the ankle: leakage to distal tibiofibular syndesmosis.
abstract: Chronic hemophilic synovitis due to intra-articular bleeding in hemophilia A (a congenital coagulation defect) is a common manifestation. Radiosynovectomy is used for the ablation of chronic hemophilic synovitis. Complications due to radiosynovectomy may be seen, such as leakage of radioactivity to the lymph nodes, liver, and spleen via the lymphatic system. We report herein 2 cases that developed leakage to the distal tibiofibular syndesmosis, lymph nodes, liver, and spleen after radiosynovectomy to the ankles. In order to prevent leakage, low-volume injection is recommended.
authors: Department of Nuclear Medicine, Ministry of Health, Ankara Training and Research Hospital, Ankara, Turkey. drgokko@gmail.com
authors: Gokhan
authors: G
authors: Koca
authors: Bulent
authors: B
authors: Alioglu
authors: Hakan
authors: H
authors: Ozsoy
authors: Meliha
authors: M
authors: Korkmaz
authors: Hasan Ikbal
authors: HI
authors: Atilgan
mesh_terms: D000293:Adolescent; D000842:Ankle / Q000000981:diagnostic imaging / Q000473:pathology*; D002648:Child; D005360:Fibula / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011877:Radionuclide Imaging; D000074402:Synovectomy; D013583:Synovial Membrane / Q000000981:diagnostic imaging*; D013585:Synovitis / Q000000981:diagnostic imaging / Q000601:surgery*; D013977:Tibia / Q000000981:diagnostic imaging*