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Arthroscintigraphy in Acute Synovial Rupture of the Knee

Veterans Administration Hospital and University of Michigan, Ann Arbor, Michigan

Correspondence: For reprints contact: Rodney V. Pozderac, Nuclear Medicine Service, Ann Arbor V.A. Hospital, 2215 Fuller Rd., Ann Arbor, Mich. 48105.

ABSTRACT

A case of acute synovial rupture of the knee that simulated deep vein thrombophlebitis of the calf (sural thrombophlebitis) is presented. The relative value of arthroscintigraphy using intra-articular ¹³¹I-IHSA compared with intravenous ^99mTc-pertechnetate in establishing this diagnosis is demonstrated. Arthoscintigraphy using intra-articular ¹³¹I-IHSA is suggested as a substitute for gas or contrast arthrography in differentiating synovial rupture from sural thrombophlebitis.