HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Demangeat, J.-L. Articles by Farcot, J.-M. Search for Related Content PubMed PubMed Citation Articles by Demangeat, J.-L. Articles by Farcot, J.-M.

Three-Phase Bone Scanning in Reflex Sympathetic Dystrophy of the Hand

Nuclear Medicine Department, C.H.R.U. Hautepierre, Strasbourg, France
SOS Mains, Strasbourg, France
Clinique de la Toussaint, Strasbourg, France

Correspondence: For reprints contact: Jean-Louis Demangeat, MD, Nuclear Medicine Dept., C.H.R.U. Hautepierre, Avenue Molière, 67098 Strasbourg-Cedex, France.

ABSTRACT

Three-phase bone scanning was performed in 181 patients suffering from reflex sympathetic dystrophy (RSD) of the hand. Four quantitative parameters were defined as follows: (a) hemovelocity and (b) blood pool (determined from the Fourier processing of angiographic data); (c) early (3–5 min) and (d) delayed (2–3 hr) bone fixation. Three significant stages of RSD were demonstrated scintigraphically. Stage I (0–20 wk from onset) demonstrated increases in velocity, blood pool, and early and delayed fixations. At stage II (20–60 wk) blood velocity and blood pool were normalized, but early and delayed hyperfixation persisted. During stage III (60–100 wk) blood velocity and blood pool were reduced on the affected hand, and early and delayed fixations were normalized. Such abnormality of decreased hemodynamic parameters may become associated with bone hypofixation in stage III. Early treatment of RSD (as compared with delayed treatment) has been demonstrated to induce normalization of hemovelocity (p <; 0.05), blood pool (p <; 0.02), and joint stiffness (p <; 0.001) without any change in the bone fixation; therefore, three-phase bone scanning may provide useful information regarding the pathophysiologic and clinical evolution of RSD.

This article has been cited by other articles:

				W. Petchkrua, D. J. Weiss, and R. R. Patel Reassessment of the Incidence of Complex Regional Pain Syndrome Type 1 Following Stroke Neurorehabil Neural Repair, January 1, 2000; 14(1): 59 - 63. [Abstract] [PDF]

				A. ZYLUK The Usefulness of Quantitative Evaluation of Three-Phase Scintigraphy in the Diagnosis of Posttraumatic Reflex Sympathetic Dystrophy J Hand Surg Eur Vol., February 1, 1999; 24(1): 16 - 21. [Abstract] [PDF]

				A. H. Hord, D. D. Denson, M. J. Huerkamp, and J. G. Seiler III Changes in Rat Paw Perfusion After Experimental Mononeuropathy: Assessment by Laser Doppler Fluxmetry Anesth. Analg., January 1, 1999; 88(1): 103 - 108. [Abstract] [Full Text] [PDF]

				C. GSCHWIND, R. FRICKER, G. LACHER, and M. JUNG Does Peri-Operative Guanethidine Prevent Reflex Sympathetic Dystrophy? J Hand Surg Eur Vol., December 1, 1995; 20(6): 773 - 775. [Abstract] [PDF]

				A. H. Hord, M. Chaet, and L. L. Fleming Current Treatment of Reflex Sympathetic Dystrophy Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1994; 7(1): 85 - 104. [PDF]

				G. FOUCHER, C. MALIZOS, D. SAMMUT, F. MARIN BRAUN, and J. MICHON Primary Palmaris Longus Transfer as an Opponensplasty in Carpal Tunnel Release: A Series of 73 Cases J Hand Surg Eur Vol., February 1, 1991; 16(1): 56 - 60. [Abstract] [PDF]