Extra-osseous Tc methylene diphosphonate uptake detected enlargement of the knee joint in patient with polyarthritis

Extra-osseous Tc methylene diphosphonate uptake detected enlargement of the knee joint in patient with polyarthritis

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Bone scintigraphy is a nuclear scanning test used to find abnormalities in the skeleton.Certain abnormal processes involving soft tissues can also cause skeletal accumulation of radiotracer during bone scintigraphy.We present a case of periarticular knee soft tissue 99m Tc methylene diphosphonate uptake in a patient with asymmetric polyarthritis.

A 33-year-old patient with asymmetric polyarthritis, skin lesions and joint pain underwent bone scintigraphy.Total royal nomadic 5413 rug body examination showed an extra-osseous uptake in periarticular soft tissue of knees joints.A detailed history checkup, physical examination and laboratory tests were carried out to understand the link between the extra-osseous uptake and the phosphonate binding in periarticular soft tissue.

To improve the anatomical description of the soft tissue of the knees and to clarify the nature of the extra-skeletal 99m Tc methylene diphosphonate uptake, magnetic resonance imaging scan was performed.99m Tc-labeled phosphonate binding has been reported in a number of extra-osseous conditions, but to our knowledge, there are a few cases showing bone tracer uptake in polyarthritis.In polyarthritic patients, whole-body bone scintigraphy were useful in examining the whole joints and detecting possible dubious extra-osseous uptake; in fact, it is able to select subjects who discount greenery require further in-depth analysis, for example, magnetic resonance imaging.