HEMARTHROSIS AND SYNOVITIS ASSOCIATED WITH HEMOPHILIA - CLINICAL USE OF P-32 CHROMIC PHOSPHATE SYNOVIORTHESIS FOR TREATMENT

Citation
Hj. Siegel et al., HEMARTHROSIS AND SYNOVITIS ASSOCIATED WITH HEMOPHILIA - CLINICAL USE OF P-32 CHROMIC PHOSPHATE SYNOVIORTHESIS FOR TREATMENT, Radiology, 190(1), 1994, pp. 257-261
Citations number
18
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging
Journal title
ISSN journal
00338419
Volume
190
Issue
1
Year of publication
1994
Pages
257 - 261
Database
ISI
SICI code
0033-8419(1994)190:1<257:HASAWH>2.0.ZU;2-J
Abstract
PURPOSE: To evaluate the clinical usefulness of phosphorus-32 chromic phosphate synoviorthesis in patients with hemophilia, recurrent hemart hrosis, and synovitis. MATERIALS AND METHODS: Forty-four P-32 colloid synoviorthesis procedures were performed in 38 patients with these abn ormalities. P-32 colloid was injected intramuscularly in a dose of 1.0 mCi (37.0 MBq) in adult knees and 0.5 mCi (18.5 MBq) in adult elbows. A thin-window Geiger-M uller counter was used to survey treated joint s, lymph nodes, and liver in order to detect leakage from the joint. F ollow-up extended to a maximum of 4 years after treatment. RESULTS: No evidence of clinically significant leakage was seen. Twenty-two of 28 treatments (78%) with longer than 6 months follow-up were associated with improvement in range of motion and frequency of hemorrhage. Of 15 treatments with longer than 2 years follow-up, 10 (67%) were associat ed with improvement in range of motion; 12 (80%), with improvement in frequency of hemorrhage; and 12 (80%), with improvement in quality-of- life activities. CONCLUSION: P-32 colloid synoviorthesis is a clinical ly useful outpatient procedure in patients with hemophilia, recurrent hemarthrosis, and synovitis in whom hemostatic therapy has failed.