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Related Experiment Videos

Articular lymphoscintigraphy in human knees using radiolabeled dextran.

M Albuquerque1, J P de Lima

  • 1Department of Orthopedics and Traumatic Surgery, University Hospital, Portugal.

Lymphology
|December 1, 1990
PubMed
Summary

Degenerative knee disease impairs lymphatic function, showing slower tracer clearance and increased regional lymph node uptake. This indicates abnormal macromolecular transport in affected joints.

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Area of Science:

  • Orthopedics
  • Nuclear Medicine
  • Medical Imaging

Background:

  • Conventional lymphography is unsuitable for assessing joint lymphatics.
  • Articular lymphatic dysfunction can be evaluated using lymphoscintigraphy.

Purpose of the Study:

  • To assess articular lymphatic dysfunction in patients with degenerative osteoarthropathy of the knee using dynamic lymphoscintigraphy.

Main Methods:

  • 38 patients with degenerative knee osteoarthropathy underwent dynamic lymphoscintigraphy.
  • 99mTc-labeled dextran (70,000 daltons) was used as the tracer.
  • Abnormal joints were compared with contralateral normal knees in 25 patients.

Main Results:

  • Abnormal knees showed slower tracer disappearance at 24 hours (86.5% +/- 3.3% retention vs. 77.1% +/- 4.6% in normal knees; p<0.01).

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  • Pathologic knees exhibited more intense tracer accumulation in regional lymph nodes (3.8% +/- 2.4% vs. 1.9% +/- 0.3%; p<0.01).
  • Conclusions:

    • Degenerative knee joint disease is associated with impaired macromolecular transport.
    • Lymphatic dysfunction is suggested in patients with degenerative knee osteoarthropathy.