Low Sensitivity Of Three-phase Bone Scintigraphy For The Diagnosis Of Repetitive Strain Injury.

dc.creatorAmorim, Bárbara Juarez
dc.creatorEtchebehere, Elba Cristina Sá de Camargo
dc.creatorDalla Torre, Graciella
dc.creatorLima, Mariana da Cunha Lopes de
dc.creatorSantos, Allan de Oliveira
dc.creatorRamos, Celso Darío
dc.creatorGonzalez, Luiz Ricardo
dc.creatorOliveira, José Inácio
dc.creatorCamargo, Edwaldo Eduardo
dc.date2006-May
dc.date2015-11-27T13:06:02Z
dc.date2015-11-27T13:06:02Z
dc.date.accessioned2018-03-29T01:03:45Z
dc.date.available2018-03-29T01:03:45Z
dc.identifierSão Paulo Medical Journal = Revista Paulista De Medicina. v. 124, n. 3, p. 145-9, 2006-May.
dc.identifier1516-3180
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/17119691
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/197013
dc.identifier17119691
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1297246
dc.descriptionThe diagnosis of repetitive strain injury (RSI) is subjective and solely based on clinical signs and physical examination. The aim of this paper was to assess the usefulness of three-phase bone scintigraphy (TPBS) in diagnosing RSI. Prospective study at the Division of Nuclear Medicine, Department of Radiology, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP). Seventy-three patients (mean age 31.2 years; 47 males) with clinical suspicion of RSI in the upper limbs were studied. A total of 127 joints with suspicion of RSI were studied. The shoulders, elbows and wrists were analyzed semi-quantitatively, using the shafts of the humeri and ulnae as references. The results were compared with a control group of 40 normal individuals. The patients signs and symptoms were used as the gold standard for calculating the probabilities. From visual analysis, abnormalities were observed in the flow phase for four joints, in the blood pool phase for 11 joints and in the delayed images for 26 joints. Visual analysis of the joints of the control group did not show any abnormalities. Semi-quantitative analysis showed that most of the patients joint ratios were normal. The exceptions were the wrists of patients with left-sided RSI (p = 0.0216). However, the sensitivity (9%) and accuracy (41%) were very low. TPBS with semi-quantitative analysis has very low sensitivity and accuracy in the detection of RSI abnormalities in the upper limbs.
dc.description124
dc.description145-9
dc.languageeng
dc.relationSão Paulo Medical Journal = Revista Paulista De Medicina
dc.relationSao Paulo Med J
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectCase-control Studies
dc.subjectCumulative Trauma Disorders
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectProspective Studies
dc.subjectRadiopharmaceuticals
dc.subjectSensitivity And Specificity
dc.subjectStatistics, Nonparametric
dc.subjectTechnetium Tc 99m Medronate
dc.titleLow Sensitivity Of Three-phase Bone Scintigraphy For The Diagnosis Of Repetitive Strain Injury.
dc.typeArtículos de revistas


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