U have specifically asked what diagnostic tests I should request fro my Orthapedic doctor when I go to see him regarding teh bone infacrt found onmy MRI...it first showed up as a sclerotic lesion on normal xrays, now as an nfarct in the distal femur. In order for me to determine the etiology of this should I requesdt a bone scan or pet scan? I don't drink, use drugs, have no history of injury and I am not African American so that rules out some diagnosis specific to this find. What are the specific diagnostic tests to find out the etiology of this bone infarct?
Clinical features of bone infarct depend on the stage of the disease and the site of involvement. Patients with medullary infarcts are usually asymptomatic. If present, symptoms are nonspecific in the early stages of the disease. Localized pain is the most common presentation for both medullary infarcts. Causes for this are many and are may be post traumatic, idiopathic, sickle cell disease, steroids, Gaucher’s, pancreatits, pregnancy, SLE, radiation, alcoholism etc. Further course would be look for why this happened and is there any complication. An orthopedic consult is required for further insight into management.