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Bone scintigraphy and costochondritis

J D Massie1, J I Sebes, S J Cowles

  • 1Department of Radiology, University of Tennessee Medical Center, Memphis.

Journal of Thoracic Imaging
|January 1, 1993
PubMed
Summary

Bone scintigraphy is the best diagnostic tool for infectious costochondritis, especially in intravenous drug abusers. This imaging technique accurately detects chest wall inflammation and its extent.

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Area of Science:

  • Medical Imaging
  • Infectious Diseases
  • Skeletal System

Background:

  • Infectious costochondritis is an inflammation of the cartilage connecting ribs to the sternum.
  • Intravenous drug abuse is an increasing risk factor for infectious costochondritis.
  • Accurate diagnosis is crucial for effective treatment and management.

Observation:

  • Four patients with infectious costochondritis were evaluated using computed tomography (CT) and bone scintigraphy.
  • Bone scintigraphy successfully identified and localized the affected areas in all patients.
  • CT imaging failed to detect bilateral involvement in one case.

Findings:

  • Bone scintigraphy proved superior to CT in detecting and localizing infectious costochondritis.
  • Aspergillus species were identified as the causative organism in two intravenous drug abusers.
  • The study highlights the diagnostic utility of scintigraphy for chest wall inflammation.

Implications:

  • Bone scintigraphy is recommended as the primary diagnostic method for suspected infectious costochondritis.
  • Increased prevalence of infectious costochondritis is linked to intravenous drug abuse.
  • Scintigraphy effectively visualizes the extent and multiplicity of costochondral lesions.

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