SPECT/CT对反向全肩关节置换术后肩胛骨应力反应早期检测的潜在作用

IF 9.6 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Nuclear Medicine Pub Date : 2025-01-01 Epub Date: 2024-09-25 DOI:10.1097/RLU.0000000000005438

Chul-Hyun Cho, Du-Han Kim, Kyoung Sook Won

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引用次数: 0

摘要

摘要：反向全肩关节置换术后肩胛骨应力性骨折（SSF）是一种独特而常见的并发症，可能对长期疗效产生负面影响。肩胛应力反应（SSR）以疼痛和压痛为特征，但无放射学骨折证据，可能是 SSF 的前兆。我们认为，使用 SPECT/CT 对肩峰、肩胛棘和肩胛突等肩胛骨应力反应进行早期检测，并采取适当的治疗措施，对于通过预防肩胛骨骨折改善预后、避免出现额外并发症至关重要。因此，我们将结合 SPECT/CT 的检查结果，介绍 3 例典型的反向全肩关节置换术后 SSR 病例。

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Potential Utility of SPECT/CT for Early Detection of Scapular Stress Reaction Following Reverse Total Shoulder Arthroplasty.

Abstract: Scapular stress fracture (SSF) after reverse total shoulder arthroplasty is a unique and common complication that may have negative impact for long-term outcomes. Scapular stress reaction (SSR), characterized by pain and tenderness without radiographic evidence of fracture, can be precursor of SSF. We believe that early detection using SPECT/CT with proper management for SSRs including acromion, scapular spine, and coracoid process is crucial for better prognosis without additional complications by preventing SSFs. Therefore, we present 3 typical cases with SSR following reverse total shoulder arthroplasty with the findings of SPECT/CT.

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来源期刊

Clinical Nuclear Medicine 医学-核医学

CiteScore

2.90

自引率

31.10%

发文量

1113

审稿时长

2 months

期刊介绍： Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.