髋部骨折的中年男性骨软化症的骨显像和实验室线索。

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

Clinical Nuclear Medicine Pub Date : 2025-05-14 DOI:10.1097/RLU.0000000000005935

Tzyy-Ling Chuang, Yuh-Feng Wang

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引用次数: 0

摘要

43岁男性，1年双侧髋关节疼痛史，站立和行走时加重，表现为跛行步态。x线显示弥漫性骨质疏松（成骨细胞溶解），骨扫描显示肋软骨连接处（念珠）、股骨颈、胫骨近端和足部对称摄取，未见肾脏，提示代谢紊乱或肿瘤。计算机断层扫描显示多处骨质溶解病变。怀疑为代谢性骨病或转移，进行了实验室检查。磁共振成像证实双侧股骨颈骨折。他接受了髋部骨折的切开复位内固定。影像学和实验室检查提示骨软化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Bone Scintigraphy and Laboratory Clues to Osteomalacia in a Middle-Aged Man With Hip Fractures.

A 43-year-old man with a 1-year history of bilateral hip pain, worsened by standing and walking, presented with a limping gait. x-rays showed diffuse osteoporosis (osteoblastic-lytic), and a bone scan revealed symmetric uptake in the costochondral junctions (rosary beads), femoral neck, proximal tibia, and feet, with no visualization of the kidneys, suggesting a metabolic disorder or neoplasm. Computed tomography revealed osteolytic lesions in multiple bones. Suspecting metabolic bone disease or metastasis, laboratory tests were conducted. Magnetic resonance imaging confirmed bilateral femoral neck fractures. He underwent open reduction internal fixation for the hip fractures. The imaging and laboratory findings suggest osteomalacia.

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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.