Skip to main content
Erschienen in: International Orthopaedics 5/2011

01.05.2011 | Original Paper

Combined single photon emission computerised tomography and conventional computerised tomography (SPECT/CT) in patellofemoral disorders: a clinical review

verfasst von: Michael T. Hirschmann, Kinner Davda, Farhad Iranpour, Helmut Rasch, Niklaus F. Friederich

Erschienen in: International Orthopaedics | Ausgabe 5/2011

Einloggen, um Zugang zu erhalten

Abstract

Patellofemoral disorders are common conditions seen in a knee clinic but can present a great diagnostic challenge to the orthopaedic surgeon. Combined single photon emission computerised tomography with conventional computer tomography (SPECT/CT) provides the clinician with precise anatomical and physiological information of the patellofemoral joint. We present a clinical review that highlights the value of SPECT/CT in patients with patellofemoral disorders, where other modalities such as radiographs, MRI, and conventional CT did not provide sufficient information. SPECT/CT has proven to be helpful for establishing the diagnosis and guidance for further treatment. SPECT/CT should be recognised as a valuable diagnostic tool in orthopaedic patients.
Literatur
1.
Zurück zum Zitat Fulkerson JP (1983) The etiology of patellofemoral pain in young, active patients: a prospective study. Clin Orthop Relat Res:129–133 Fulkerson JP (1983) The etiology of patellofemoral pain in young, active patients: a prospective study. Clin Orthop Relat Res:129–133
2.
Zurück zum Zitat Fulkerson JP (1994) Patellofemoral pain disorders: evaluation and management. J Am Acad Orthop Surg 2:124–132PubMed Fulkerson JP (1994) Patellofemoral pain disorders: evaluation and management. J Am Acad Orthop Surg 2:124–132PubMed
3.
Zurück zum Zitat Fulkerson JP (2002) Diagnosis and treatment of patients with patellofemoral pain. Am J Sports Med 30:447–456PubMed Fulkerson JP (2002) Diagnosis and treatment of patients with patellofemoral pain. Am J Sports Med 30:447–456PubMed
4.
Zurück zum Zitat Gerbino PG 2nd, Griffin ED, D’Hemecourt PA, Kim T, Kocher MS, Zurakowski D et al (2006) Patellofemoral pain syndrome: evaluation of location and intensity of pain. Clin J Pain 22:154–159PubMedCrossRef Gerbino PG 2nd, Griffin ED, D’Hemecourt PA, Kim T, Kocher MS, Zurakowski D et al (2006) Patellofemoral pain syndrome: evaluation of location and intensity of pain. Clin J Pain 22:154–159PubMedCrossRef
5.
Zurück zum Zitat LaBella C (2004) Patellofemoral pain syndrome: evaluation and treatment. Prim Care 31:977–1003PubMed LaBella C (2004) Patellofemoral pain syndrome: evaluation and treatment. Prim Care 31:977–1003PubMed
6.
Zurück zum Zitat Lowry CD, Cleland JA, Dyke K (2008) Management of patients with patellofemoral pain syndrome using a multimodal approach: a case series. J Orthop Sports Phys Ther 38:691–702PubMed Lowry CD, Cleland JA, Dyke K (2008) Management of patients with patellofemoral pain syndrome using a multimodal approach: a case series. J Orthop Sports Phys Ther 38:691–702PubMed
7.
Zurück zum Zitat Naslund JE, Odenbring S, Naslund UB, Lundeberg T (2005) Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome. Br J Sports Med 39:162–165PubMedCrossRef Naslund JE, Odenbring S, Naslund UB, Lundeberg T (2005) Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome. Br J Sports Med 39:162–165PubMedCrossRef
8.
Zurück zum Zitat Brushoj C, Holmich P, Nielsen MB, Albrecht-Beste E (2008) Acute patellofemoral pain: aggravating activities, clinical examination, MRI and ultrasound findings. Br J Sports Med 42:64–67PubMedCrossRef Brushoj C, Holmich P, Nielsen MB, Albrecht-Beste E (2008) Acute patellofemoral pain: aggravating activities, clinical examination, MRI and ultrasound findings. Br J Sports Med 42:64–67PubMedCrossRef
9.
Zurück zum Zitat Pagenstert GI, Bachmann M (2008) Clinical examination for patellofemoral problems. Orthopade 37(9):890–895, 897–903PubMedCrossRef Pagenstert GI, Bachmann M (2008) Clinical examination for patellofemoral problems. Orthopade 37(9):890–895, 897–903PubMedCrossRef
10.
Zurück zum Zitat Lorberboym M, Ami DB, Zin D, Nikolov G, Adar E (2009) Incremental diagnostic value of 99mTc methylene diphosphonate bone SPECT in patients with patellofemoral pain disorders. Nucl Med Commun 24(4):403–410CrossRef Lorberboym M, Ami DB, Zin D, Nikolov G, Adar E (2009) Incremental diagnostic value of 99mTc methylene diphosphonate bone SPECT in patients with patellofemoral pain disorders. Nucl Med Commun 24(4):403–410CrossRef
11.
Zurück zum Zitat Kijowski R, Blankenbaker D, Stanton P, Fine J, De Smet A (2006) Correlation between radiographic findings of osteoarthritis and arthroscopic findings of articular cartilage degeneration within the patellofemoral joint. Skeletal Radiol 35(12):895–902PubMedCrossRef Kijowski R, Blankenbaker D, Stanton P, Fine J, De Smet A (2006) Correlation between radiographic findings of osteoarthritis and arthroscopic findings of articular cartilage degeneration within the patellofemoral joint. Skeletal Radiol 35(12):895–902PubMedCrossRef
12.
13.
Zurück zum Zitat Carson WG Jr, James SL, Larson RL, Singer KM, Winternitz WW (1984) Patellofemoral disorders: physical and radiographic evaluation. Part II: radiographic examination. Clin Orthop Relat Res 185:178–186PubMed Carson WG Jr, James SL, Larson RL, Singer KM, Winternitz WW (1984) Patellofemoral disorders: physical and radiographic evaluation. Part II: radiographic examination. Clin Orthop Relat Res 185:178–186PubMed
14.
Zurück zum Zitat Hejgaard N, Diemer H (1987) Bone scan in the patellofemoral pain syndrome. Int Orthop 11(1):29–33PubMedCrossRef Hejgaard N, Diemer H (1987) Bone scan in the patellofemoral pain syndrome. Int Orthop 11(1):29–33PubMedCrossRef
15.
Zurück zum Zitat Dye S, Chew MH (1993) The use of scintigraphy to detect increased osseous metabolic activity about the knee. J Bone Joint Surg 75:1388–1406 Dye S, Chew MH (1993) The use of scintigraphy to detect increased osseous metabolic activity about the knee. J Bone Joint Surg 75:1388–1406
16.
Zurück zum Zitat Collier BD, Johnson RP, Carrera GF, Isitman AT, Veluvolu P, Knobel J et al (1985) Chronic knee pain assessed by SPECT: comparison with other modalities. Radiology 157(3):795–802PubMed Collier BD, Johnson RP, Carrera GF, Isitman AT, Veluvolu P, Knobel J et al (1985) Chronic knee pain assessed by SPECT: comparison with other modalities. Radiology 157(3):795–802PubMed
17.
Zurück zum Zitat Even-Sapir E, Keidar Z, Bar-Shalom R (2009) Hybrid imaging (SPECT/CT and PET/CT) improving the diagnostic accuracy of functional/metabolic and anatomic imaging. Semin Nucl Med 39(4):264–275PubMedCrossRef Even-Sapir E, Keidar Z, Bar-Shalom R (2009) Hybrid imaging (SPECT/CT and PET/CT) improving the diagnostic accuracy of functional/metabolic and anatomic imaging. Semin Nucl Med 39(4):264–275PubMedCrossRef
18.
Zurück zum Zitat Breunung N, Barwick T, Fernando R, Gnanasegaran G, Vijayanathan S, Hosahalli M et al (2008) Additional benefit of SPECT-CT in investigating heel pain. Clin Nucl Med 33(10):705–706PubMedCrossRef Breunung N, Barwick T, Fernando R, Gnanasegaran G, Vijayanathan S, Hosahalli M et al (2008) Additional benefit of SPECT-CT in investigating heel pain. Clin Nucl Med 33(10):705–706PubMedCrossRef
19.
Zurück zum Zitat Roarke MC, Nguyen BD, Pockaj BA (2008) Applications of SPECT/CT in nuclear radiology. AJR Am J Roentgenol 191(3):W135–W150PubMedCrossRef Roarke MC, Nguyen BD, Pockaj BA (2008) Applications of SPECT/CT in nuclear radiology. AJR Am J Roentgenol 191(3):W135–W150PubMedCrossRef
20.
Zurück zum Zitat Hirschmann MT, Iranpour F, Davda K, Rasch H, Hugli R, Friederich NF (2010) Combined single-photon emission computerized tomography and conventional computerized tomography (SPECT/CT): clinical value for the knee surgeons? Knee Surg Sports Traumatol Arthrosc 18(3):341–345 Hirschmann MT, Iranpour F, Davda K, Rasch H, Hugli R, Friederich NF (2010) Combined single-photon emission computerized tomography and conventional computerized tomography (SPECT/CT): clinical value for the knee surgeons? Knee Surg Sports Traumatol Arthrosc 18(3):341–345
21.
Zurück zum Zitat Scharf S (2009) SPECT/CT imaging in general orthopedic practice. Semin Nucl Med 39(5):293–307PubMedCrossRef Scharf S (2009) SPECT/CT imaging in general orthopedic practice. Semin Nucl Med 39(5):293–307PubMedCrossRef
22.
Zurück zum Zitat Knupp M, Pagenstert GI, Barg A, Bolliger L, Easley ME, Hintermann B (2009) SPECT-CT compared with conventional imaging modalities for the assessment of the varus and valgus malaligned hindfoot. J Orthop Res (27)11:1461–1466CrossRef Knupp M, Pagenstert GI, Barg A, Bolliger L, Easley ME, Hintermann B (2009) SPECT-CT compared with conventional imaging modalities for the assessment of the varus and valgus malaligned hindfoot. J Orthop Res (27)11:1461–1466CrossRef
23.
Zurück zum Zitat Hirschmann MT, Iranpour F, Konala P, Kerner A, Rasch H, Cobb JP, Friederich NF (2010) A novel standardized method for evaluating patients after total knee arthroplasty using combined single photon emission tomography and conventional computerized tomography (SPECT/CT). Knee Surg Sports Traumatol Arthrosc (accepted January 2010) Hirschmann MT, Iranpour F, Konala P, Kerner A, Rasch H, Cobb JP, Friederich NF (2010) A novel standardized method for evaluating patients after total knee arthroplasty using combined single photon emission tomography and conventional computerized tomography (SPECT/CT). Knee Surg Sports Traumatol Arthrosc (accepted January 2010)
Metadaten
Titel
Combined single photon emission computerised tomography and conventional computerised tomography (SPECT/CT) in patellofemoral disorders: a clinical review
verfasst von
Michael T. Hirschmann
Kinner Davda
Farhad Iranpour
Helmut Rasch
Niklaus F. Friederich
Publikationsdatum
01.05.2011
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 5/2011
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-1049-x

Weitere Artikel der Ausgabe 5/2011

International Orthopaedics 5/2011 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.