By Yong Whee Bahk MD, PhD, Professor (auth.)
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Additional resources for Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases
Otherwise there is no sex or age difference in the pubic tracer uptake pattern (Chung et al. 1992). The dorsal inclincation of the pubic bone or the obliquity of pinhole collimator axis may result in a drastic change in appearance (Fig. 31). The iliac crests and auricular surfaces are seen to advantage in the posterior view. Normal Skeletal Anatomy on Pinhole Scintigraphy 27 Limbs As a whole the tracer accumulation is minimal in the shafts of long bones, with a higher uptake typically localizing in the bone ends about joints.
The incompletely ossified sternum or the sternal ossification center in the pediatric age group is typically discoid in appearance, concentrating tracer fairly intensely. At this age, the medial clavicular ends show intense tracer uptake because of brisk bone formation (Fig. 18). Pinhole seintigraphically, the ribs and clavicles appear simple barlike structures with a uniform tracer uptake of relatively low intensity. However, the articular parts accumulate tracer intensely (Figs. 17, 18). Normal Skeletal Anatomy on Pinhole Scintigraphy 19 Shoulder Fig.
The dorsal structures of the elbow is better seen on the posterior view. In the elbow the delineation of the joint is generally unsatisfactory because of its structural complexity in addition to the relatively small joint size. In the wrist all the carpal bones except for the triquetral and the pisiform can be imaged individually when proper views are taken; the triquetral and the pisiform cannot be separated as they superimpose one another (Fig. 34). Instead the overlap of these bones are represented scintigraphically by the "added or doubled tracer uptake" phenomenon.
Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases by Yong Whee Bahk MD, PhD, Professor (auth.)