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Journal of Nuclear Medicine

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OtherClinical Investigations

Confirmation of the Early Prognostic Value of Bone Scanning and Pinhole Imaging of the Hip in Legg-Calvé-Perthes Disease

Frédéric Comte, Vicenzo De Rosa, Hakim Zekri, Marie Claude Eberlé, Alain Dimeglio, Michel Rossi and Denis Mariano-Goulart
Journal of Nuclear Medicine November 2003, 44 (11) 1761-1766;
Frédéric Comte
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Vicenzo De Rosa
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Hakim Zekri
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Marie Claude Eberlé
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Alain Dimeglio
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Michel Rossi
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Denis Mariano-Goulart
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  • FIGURE 1.
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    FIGURE 1.

    Scintigraphic stages of Conway classification of LCP. Stage I (total avascularity of proximal femoral epiphysis) is observed at initial stage of disease. Appearance of lateral column formation (a) characterizes A pathway (stages IIA and IIIA). In B pathway, as neovascularization progresses, extension of activity from metaphysis is observed (stages IIB and IIIB), without lateral column formation (b).

  • FIGURE 2.
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    FIGURE 2.

    Hyperactivity (arrow) of left metaphyseal growth plates compared with other hip, which appears normal.

Tables

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    TABLE 1

    Scintigraphic Stages of the Conway Classification

    StagePathway APathway B
    INo radioactivityNo radioactivity
    IIAppearance of lateral column formationAppearance of activity from base of epiphysis
    IIIExtension of lateral column formation activityExtension of activity to capital femoral epiphysis
    IVExtension of lateral column formation activity to whole epiphysisExtension of activity to whole epiphysis
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    TABLE 2

    MRI and Arthrography Results for Patients in Catterall Stage III or IV

    Patient no.SexAge at diagnosis (y)Time from initial symptoms to staging (mo)StagePresence of severity signs at
    MRIArthrography
    1M6.26IIIYes—*
    2F5.96IIIYes—
    3M8.78IIIYes—
    4M7.68IIIYesYes
    5M7.08IIIYesYes
    6M9.15IIIYesYes
    7M9.56IIIYesYes
    8M6.67IIIYesYes
    9M5.57IIIYesYes
    10M5.94IIINo—
    11M6.45IIINo—
    12M4.15IIINo—
    13F6.87IIINo—
    14M8.47IIINo—
    15M7.56IIINo—
    16M6.28IIINo—
    17M3.48IIINo—
    18M6.47IVYes—
    19M8.46IVYes—
    20M5.17IVYes—
    21M8.97IVYes—
    22M5.67IVYes—
    23M4.26IVYes—
    24M4.28IVYes—
    25F10.77IVYes—
    26M7.46IVYes—
    27M3.87IV—Yes
    28M7.39IVYesYes
    29M3.58IVYesYes
    30M7.76IVYesYes
    31M6.08IVYesYes
    32M4.18IVYesYes
    33M4.58IVYesYes
    34M4.18IV—Yes
    35M6.45IVYesYes
    36M4.510IVYesYes
    37M6.08IVYesYes
    38M6.07IVYesYes
    39M7.27IVYesYes
    40M7.26IVYesYes
    41F9.99IVYesYes
    42M4.05IVYesYes
    43F4.47IVYesYes
    44M8.17IVYesYes
    • ↵* Not determined.

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    TABLE 3

    Number of Patients with Good or Poor Final Outcome Depending on Pathway

    Disease severityPathway APathway B
    Good final outcome231
    Poor final outcome431
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Journal of Nuclear Medicine
Vol. 44, Issue 11
November 1, 2003
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Confirmation of the Early Prognostic Value of Bone Scanning and Pinhole Imaging of the Hip in Legg-Calvé-Perthes Disease
Frédéric Comte, Vicenzo De Rosa, Hakim Zekri, Marie Claude Eberlé, Alain Dimeglio, Michel Rossi, Denis Mariano-Goulart
Journal of Nuclear Medicine Nov 2003, 44 (11) 1761-1766;

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Confirmation of the Early Prognostic Value of Bone Scanning and Pinhole Imaging of the Hip in Legg-Calvé-Perthes Disease
Frédéric Comte, Vicenzo De Rosa, Hakim Zekri, Marie Claude Eberlé, Alain Dimeglio, Michel Rossi, Denis Mariano-Goulart
Journal of Nuclear Medicine Nov 2003, 44 (11) 1761-1766;
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