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By Yong Whee Bahk MD, PhD, Professor (auth.)

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36A-C. Anterior and tunnel views of the knee. A Anterior pinhole scintigram of the right knee portrays increased tracer uptake in the medial (me) and lateral condyles (le), patella (p), intercondylar tubercles of the tibia (it), and tibial plateaus (arrowheads). The closed physeal lines in the distal femur and proximal tibia are indicated by transverse, linear tracer uptake (Iarge arrows) . B Anteroposterior radiogram identifies the medial (me) and lateral condyles (le), intercondylar tubercles of the tibia (it), tibial plateaus (arrowheads), and patella (p).

B Anteroposterior radiogram identifies the tibial tuberosity (tt) and the insertion site of the patellar ligament (arrowheads) For the study of the bones in the ankles and feet, both the medial and lateral views and the complementary dorsal view are in need. The medial pinhole view shows prominent tracer uptake in the trochlea and posterior articular surface of the talus as weIl as in the sustentaculum tali and posterior articular surface of the calcaneus, which together form the subtalar joint or the tarsal sinus (Fig.

Pinhole seintigraphy appears useful for the detection of evasive pathological uptake in a smalI, initiating, infective focus that is buried in the prominent physeal uptake on the ordinary scintigrams (Fig. · The usefulness of double- or triple-phase bone scan in the diagnosis of acute osteomyelisitis has been weIl documented (Duszynski et al. 1975; Gilday et al. 1975; Rosenthall et al. 1982; Maurer et al. 1981; Majd and Frankel 1976). Acute Infective Osteitis and CorticaI Abscess Acute infective osteitis is a suppurative infection of the cortical bone.

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