| Japanese |
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| Title | 疲労骨折の骨シンチグラムについて |
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| Subtitle | 原著 |
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| Authors | 古田敦彦*, 田之畑一則*, 大嶽達*, 橋爪俊幸*, 小林洋二**, 中嶋寛之*** |
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| Authors(kana) | |
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| Organization | *関東労災病院放射線科, **神奈川成人病センター放射線科, ***東京大学教養学部 |
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| Journal | 核医学 |
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| Volume | 21 |
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| Number | 5 |
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| Page | 435-443 |
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| Year/Month | 1984/5 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」 スポーツ選手の疲労骨折58例に, 99mTc-MDPによる骨シンチグラフィを実施, 臨床的に検討した. 脛骨疲労骨折は, 男でランニング型スポーツの症例が多く, 脛骨の近位部, 右側発症例が多かった. 腓骨疲労骨折は, 女子バレーボール等跳躍型の選手が多く, 腓骨遠位部, 右側発症例が多かった. 足根骨疲労骨折は, ラグビーによる踵骨の発症が多く認められた. 中足骨疲労骨折は第1〜第2中足骨の症例はなく, 第3〜第5中足骨の症例が多かった. 大腿骨疲労骨折はスポーツ歴, 症状, 経過, CT, 骨シンチグラムで帯状の小範囲限局性のRI集積像を示したことより疲労骨折としたが, 骨肉腫との鑑別の困難性が想像された. 両側発症は2例のみで, 他は右側発症が60%と多かった. 骨シンチグラムは全例陽性であったが, X線像で異常を認めない症例は36%あり, とくに経時的にもX線所見の認めにくい踵骨を除く足根骨の骨シンチグラフィは有用であった. |
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| Practice | 臨床医学：一般 |
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| Keywords | 99mTc-MDP, Bone scintigraphy, Stress fracture |
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| English |
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| Title | Clinical Evaluation of Stress Fractures Using Bone Scintigraphy |
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| Subtitle | Original Articles |
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| Authors | Atsuhiko FURUTA*, Kazunori TANOHATA*, Toru OTAKE*, Toshiyuki HASHIZUME*, Yozi KOBAYASHI**, Hiroyuki NAKAZIMA*** |
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| Organization | *Department of Radiology, Kanto Rosai Hospital, **Department of Radiology, Kanagawa Center, for Adult Diseases, ***College of Art and Science, Tokyo University School |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 21 |
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| Number | 5 |
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| Page | 435-443 |
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| Year/Month | 1984/5 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] Clinical evaluation of stress fractures were performed in 58 athletes using bone scintigraphy with 99mTc-MDP. Stress fractures of the tibia were most often seen in the males with running type sports. They occurred more often in the proximal tibia and on the right side. Stress fractures of the fibula were most often seen in females with jumping type sports, such as volley ball. They occurred more often in the distal fibula and on the right side. Tarsal bone fractures were seen most often rugby players. Metatarsal fractures occurred in the third fourth and fifth metatarsals. No lesion was seen in the first and second metatarsals. We feel that stress fractures of the femur can be differentiated from osteosarcoma by small loculated radionuclide accumulation as well as symptome, course and tomographic and CT finding. Bilateral involvement was seen in two cases in patellae and calcanei. Most of the other fractures were seen on the right side. Negative radiographs were seen in 36% of the patients and occurred most commonly in the tarsal bones excluding calcaneus. Bone scintigrams were positive in all cases and were most useful in fractures of the tarsal bones excluding calcaneus. |
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| Practice | Clinical medicine |
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| Keywords | 99mTc-MDP, Bone scintigraphy, Stress fracture |
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