An early false-negative bone scan in a spiral fracture
| Autor: | Patrick J. Peller, Gregory Coccaro, Charles J. Martinez, Nanda Y. Khedkar |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Child abuse
medicine.medical_specialty business.industry Radiography Spiral fracture Infant General Medicine Bone imaging Technetium Tc 99m Medronate medicine.disease Fracture (geology) medicine Humans Radiology Nuclear Medicine and imaging In patient Radiology Abnormal results business Nuclear medicine Radionuclide Imaging False Negative Reactions Femoral Fractures Spiral Follow-Up Studies |
| Zdroj: | Clinical nuclear medicine. 19(9) |
| ISSN: | 0363-9762 |
| Popis: | Ninety-five percent of bone scans show abnormal results by 24 hours after a fracture, and 100% show abnormal results by 72 hours after a fracture in patients younger than 65 years of age (1). A 21-month-old child fell and suffered a large, spiral fracture of the right femur. After plain film radiographs, bone imaging was performed to evaluate the possibility of child abuse. The bone scan, performed 29 hours after the injury, failed to demonstrate any abnormal Tc-99m MDP uptake at the spiral fracture site. Negative results of bone imaging performed early after trauma may not exclude the possibility of a fracture, particularly spiral fractures. Follow-up bone imaging in a few days may be of value |
| Databáze: | OpenAIRE |
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