Abstract
Bone scintigraphy has a long and useful track record in the early detection of trauma, both acute and chronic, since its introduction in the 1970s as a new imaging modality. It has been widely used in the early detection of occult bone injury that is not evident on plain x-ray, with a significant increase in sensitivity with the adoption of SPECT. Adoption of scintigraphy into the investigation of sporting injuries was a more successful enterprise in the last 1970s and 1980s and, in many instances of stress fracture and the medial tibial stress syndrome, became the reference standard. MRI has diminished the role of scintigraphy with its exquisite contrast resolution and excellent spatial resolution, especially for soft-tissue injury. It reflects the cyclical nature of technological advances in imaging. We are now at another exciting crossroad, where SPECT has been combined with CT, allowing the marriage of the superb contrast resolution of SPECT with the high spatial resolution of CT. Early experience suggests that there is an incremental value of 25–30 % over SPECT or CT alone, opening up exciting possibilities for imaging trauma. Evidence for its utility in sporting and non-sporting trauma will be evaluated.
Keywords
- Vertebral Fracture
- Stress Fracture
- Bone Scintigraphy
- Anterior Cruciate Ligament Injury
- Insufficiency Fracture
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Abe H, Nakamura M, Takahashi S et al (1992) Radiation-induced insufficiency fractures of the pelvis: evaluation with 99mTc-methylene diphosphonate scintigraphy. AJR Am J Roentgenol 158(3):599–602
Albert TJ, Pinto M, Smith MD et al (1998) Accuracy of SPECT scanning in diagnosing pseudoarthrosis: a prospective study. J Spinal Disord 11(3):197–199
al-Janabi MA (1994) The role of bone scintigraphy and other imaging modalities in knee pain. Nucl Med Commun 15(12):991–996
Amendola A, Wolcott M (2002) Bony injuries around the hip. Sports Med Arthroscopy 101:63–67
Anderson IF, Crichton KJ, Grattan-Smith T et al (1989) Osteochondral fractures of the dome of the talus. J Bone Joint Surg 71-A:1143–1152
Auchincloss JM, Watt I (1982) Scintigraphy in the evaluation of potential fracture healing: a clinical study of tibial fractures. Br J Radiol 55(658):707–713
Bellmore MC, Cummine JL, Crocker EF et al (1983) The role of bone scans in the assessment of prognosis of scaphoid fractures. Aust N Z J Surg 53(2):133–137
Bennell KL, Brukner PD (1997) Epidemiology and site specificity of stress fractures. Clin Sports Med 16(2):179–196
Bertolotti M (1917) Contributo alla conoscenza dei vizi di differenzazione regionale del rachide con speciale riguardo all’ assimiliazione sacrale della V lombare. Radiol Med (Torino) 4:113–144
Boden BP, Osbahr DC (2000) High-risk stress fractures: evaluation and treatment. J Am Acad Orthop Surg 8(6):344–353
Bohne WH (2001) Tarsal coalition. Curr Opin Pediatr 13(1):29–35
Brudvig TJ, Gudger TD, Obermeyer L (1983) Stress fractures in 295 trainees: a one-year study of incidence as related to age, sex and race. Mil Med 148:666–667
Brukner P, Bennell K (1997) Stress fractures in female athletes. Diagnosis, management and rehabilitation. Sports Med 24(6):419–429
Brukner P, Khan K (eds) (2001) Clinical sports medicine, 2nd edn. McGraw-Hill, Sydney
Calder SJ, McCaskie AW, Belton IP et al (1995) Single-photon-emission computerised tomography compared with planar bone scan to assess femoral head vascularity. J Bone Joint Surg Br 77(4):637–639
Campbell RS, Grainger AJ, Hide IG et al (2005) Juvenile spondylolysis: a comparative analysis of CT, SPECT and MRI. Skeletal Radiol 34(2):63–73
Carter DR, Caler WE (1983) Cycle-dependant and time-dependant bone fracture with repeated loading. J Biomech Eng 105:166–170
Chappard D, Basle MF, Legrand E et al (2008) Trabecular bone microarchitecture: a review. Morphologie 92(299):162–170
Charkes ND, Siddhivarn N, Schneck CD (1987) Bone scanning in the adductor insertion avulsion syndrome (“thigh splints”). J Nucl Med 28:1835
Chen JH, Liu C, You L et al (2009) Boning up on Wolff’s law: mechanical regulation of the cells that make and maintain bone. J Biomech 43(1):108–118
Chung HW, Kim YH, Hong SH et al (2000) Indirect signs of anterior cruciate ligament injury on SPET: comparison with MRI and arthroscopy. Nucl Med Commun 216:51–58
Clunie G, Bomanji J, Ell PJ (1997) Technetium-99m-MDP patterns in patients with painful shoulder lesions. J Nucl Med 38:1491–1495
Cohen J (1968) Weighed kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull 70:213–220
Collier BD, Johnson RP, Carrera GF et al (1985) Chronic knee pain assessed by SPECT: comparison with other modalities. Radiology 157(3):795–802
Congeni J, McCulloch J, Swanson K (1997) Lumbar spondylolysis. A study of natural progression in athletes. Am J Sports Med 25(2):248–253
Connolly SA, Connolly LP, Jaramillo D (2001) Imaging of sports injuries in children and adolescents. Radiol Clin North Am 39(4):773–790
Connolly LP, D’Hemecourt PA, Connolly SA et al (2003) Skeletal scintigraphy of young patients with low-back pain and a lumbosacral transitional vertebra. J Nucl Med 44(6):909–914
Cook GJ, Fogelman I (1996) Lateral collateral ligament tear of the knee: appearances on bone. Eur J Nucl Med 23(6):720–722
Cook GJ, Hannaford E, See M et al (2002) The value of bone scintigraphy in the evaluation of osteoporotic patients with back pain. Scand J Rheumatol 31(4):245–248
Cooper KL, Beabout JW, Swee RG (1985) Insufficiency fractures of the sacrum. Radiology 156(1):15–20
Courtenay BG, Bowers DM (1990) Stress fractures: clinical features and investigation. Med J Aust 153(3):155–156
Crisp TA (1998) Tibialis posterior tendonitis associated with os naviculare. Med Sci Sports Exerc 30(8):1183–1190
Davies AM, Evans NS, Struthers GR (1988) Parasymphyseal and associated insufficiency fractures of the pelvis and sacrum. Br J Radiol 61(722):103–108
Desai A, Alavi A, Dalinka M et al (1980) Role of bone scintigraphy in the evaluation and treatment of nonunited fractures: concise communication. J Nucl Med 21(10):931–934
Devas MB (1975) Stress fractures. Churchill Livingstone, London
Dias JJ, Thompson J, Barton NJ et al (1990) Suspected scaphoid fractures. The value of radiographs. J Bone Joint Surg Br 72(1):98–101
Donahue SW, Sharkey NA (1999) Strains in the metatarsals during the stance phase of gait: implications for stress fractures. J Bone Joint Surg 81-A(9):1236–1244
Dubowitz DJ, Miles KA (1994) Technical note: bone SPECT of the wrist. Br J Radiol 67(801):890–893
Elster AD (1989) Bertolotti’s syndrome revisited. Transitional vertebrae of the lumbar spine. Spine (Phila Pa 1976) 14(12):1373–1377
Englaro EE, Gelfand MJ, Paltiel HJ (1992) Bone scintigraphy in preschool children with lower extremity pain of unknown origin. J Nucl Med 33(3):351–354
Esterhai J, Alavi A, Mandell GA et al (1985) Sequential technetium-99m/gallium-67 scintigraphic evaluation of subclinical osteomyelitis complicating fracture nonunion. J Orthop Res 3(2):219–225
Even-Sapir E, Martin RH, Mitchell MJ et al (1994) Assessment of painful late effects of lumbar spinal fusion with SPECT. J Nucl Med 35(3):416–422
Fallat L, Grimm DJ, Saracco JA (1998) Sprained ankle syndrome: prevalence and analysis of 639 acute injuries. J Foot Ankle Surg 37(4):280–285
Frater CJ (2001) Importance of positioning and frequency of unexpected scintigraphic findings in a high impact sport. Nucl Med Commun 22(11):1231–1235
Frater C, Van Gaal W, Kannangara S et al (2002) Scintigraphy of injuries to the distal tibiofibular syndesmosis. Clin Nucl Med 27(9):625–627
Fredrickson BE, Baker D, McHolick WJ et al (1984) The natural history of spondylolysis and spondylolisthesis. J Bone Joint Surg Am 66(5):699–707
Frost HM (2004) A 2003 update of bone physiology and Wolff’s Law for clinicians. Angle Orthod 74(1):3–15
Frost ML, Fogelman I, Blake GM et al (2004) Dissociation between global markers of bone formation and direct measurement of spinal bone formation in osteoporosis. J Bone Miner Res 19(11):1797–1804
Garcia-Morales F, Seo GS, Chengazi V et al (2003) Collar osteophytes: a cause of false-positive findings in bone scans for hip fractures. AJR Am J Roentgenol 181(1):191–194
Gates GF (1996a) Oblique angle bone SPECT imaging of the lumbar spine, pelvis and hips. Clin Nucl Med 21(5):359–362
Gates GF (1996b) Bone SPECT imaging of the painful back. Clin Nucl Med 21(7):560–571
Gelfand MJ, Lemen LC (2007) PET/CT and SPECT/CT dosimetry in children: the challenge to the pediatric imager. Semin Nucl Med 37(5):391–398
Georgoulias P, Georgiadis I, Dimakopoulos N et al (2001) Scintigraphy of stress fractures of the sesamoid bones. Clin Nucl Med 26(11):944–945
Geslien GE, Thrall JH, Espinosa JL et al (1976) Early detection of stress fractures using 99mTc-polyphosphate. Radiology 121(3 Pt. 1):683–687
Gimenez MA, de la Cueva L, Navarro P et al (2009) Utility of SPECT-CT in the characterization of rib injuries. Rev Esp Med Nucl 28(6):299–300
Goldberg HD, Young JW, Reiner BI et al (1992) Double injuries of the forearm: a common occurrence. Radiology 185(1):223–227
Granier P, Mourad M (2007) Évaluation de l’imagerie hybride TEMP-TDM dans l’exploration des lésions traumatiques ou microtraumatiques. Med Nucl 31:430
Greaney RB, Gerber FH, Laughlin RL et al (1983) Distribution and natural history of stress fractures in US Marine recruits. Radiology 146:339–346
Gregory PL, Batt ME, Kerslake RW et al (2005) Single photon emission computerized tomography and reverse gantry computerized tomography findings in patients with back pain investigated for spondylolysis. Clin J Sport Med 15(2):79–86
Grier D, Wardell S, Sarwark J et al (1993) Fatigue fractures of the sacrum in children: two case reports and a review of the literature. Skeletal Radiol 22(7):515–518
Groves AM, Cheow HK, Balan KK et al (2005) 16 detector multislice CT versus skeletal scintigraphy in the diagnosis of wrist fractures: value of quantification of 99Tcm-MDP uptake. Br J Radiol 78(933):791–795
Heinrich SD, Gallagher D, Harris M et al (1994) Undiagnosed fractures in severely injured children and young adults. Identification with technetium imaging. J Bone Joint Surg Am 76(4):561–572
Hickey GJ, Fricker PA, McDonald WA (1997) Injuries to elite rowers over a 10-yr period. Med Sci Sports Exerc 29(12):1567–1572
Hill PF, Chatterji S, Chambers D et al (1996) Stress fracture of the pubic ramus in female recruits. J Bone Joint Surg Br 78(3):383–386
Hirschmann MT, Iranpour F, Davda K et al (2010) Combined single-photon emission computerized tomography and conventional computerized tomography (SPECT/CT): clinical value for the knee surgeons? Knee Surg Sports Traumatol Arthrosc 18(3):341–345
Hodge JC (1999) Anterior process fracture or calcaneus secundarius: a case report. J Emerg Med 17(2):305–309
Holder LE, Michael RH (1984) The specific scintigraphic pattern of “shin splints” in the lower leg: concise communication. J Nucl Med 25:865–869
Holder LE, Schwarz C, Wernicke PG et al (1990) Radionuclide bone imaging in the early detection of fractures of the proximal femur (hip): multifactorial analysis. Radiology 174(2):509–515
Howarth D, Southee A, Cardew P et al (1994) SPECT in avulsion injury of the multifidus and rotator muscles of the lumbar region. Clin Nucl Med 19(7):571–574
Huang H, Qureshi A, Biundo J (2000) Sports and other soft tissue injuries, tendinitis, bursitis, and occupation-related syndromes. Curr Opin Rheumatol 12(2):150–154
Hulkko A, Orava S (1987) Stress fractures in athletes. Int J Sports Med 8(3):221–226
Hulkko A, Orava S, Nikula P (1985) Stress fracture of the fifth metatarsal in athletes. Ann Chir Gynaecol 74(5):233–238
Ishibashi Y, Okamura Y, Otsuka H et al (2002) Comparison of scintigraphy and magnetic resonance imaging for stress injuries of bone. Clin J Sport Med 12(2):79–84
Johnson RP, Collier BD, Carrera GF (1984) The os trigonum syndrome: use of bone scan in the diagnosis. J Trauma 24(8):761–764
Kim EE, Pjura GA, Lowry PA et al (1987) Osteomyelitis complicating fracture: pitfalls of 111In leukocyte scintigraphy. AJR Am J Roentgenol 148(5):927–930
Kleinman PK, Marks SC Jr (1996a) A regional approach to classic metaphyseal lesions in abused infants: the distal tibia. AJR Am J Roentgenol 166(5):1207–1212
Kleinman PK, Marks SC Jr (1996b) A regional approach to the classic metaphyseal lesion in abused infants: the proximal humerus. AJR Am J Roentgenol 167(6):1399–1403
Kleinman PK, Marks SC Jr (1998) A regional approach to the classic metaphyseal lesion in abused infants: the distal femur. AJR Am J Roentgenol 170(1):43–47
Knirk JL, Jupiter JB (1986) Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg 68A:647–659
Kortebein PM, Kaufman KR, Basford JR et al (2000) Medial tibial stress syndrome. Med Sci Sports Exerc 32(2 (Supplement)):S27–S33
Le Jeune JJ, Rochcongar P, Vazelle F et al (1984) Pubic pain syndrome in sportsmen: comparison of radiographic and scintigraphic findings. Eur J Nucl Med 9(6):250–253
Lee EW, Donatto KC (1999) Fractures of the midfoot and forefoot. Curr Opin Orthop 10:224–230
Linke R, Kuwert T, Uder M et al (2010) Skeletal SPECT/CT of the peripheral extremities. AJR Am J Roentgenol 194(4):W329–W335
Mandell GA, Harcke HT, Hugh J et al (1990) Detection of talocalcaneal coalitions by magnification bone scintigraphy. J Nucl Med 31(11):1797–1801
Marks PH, Goldenberg JA, Vezina WC et al (1992) Subchondral bone infractions in acute ligamentous knee injuries demonstrated on bone scintigraphy and magnetic resonance imaging. J Nucl Med 33(4):516–520
Matheson GO, Clement DB, McKenzie DC et al (1987) Scintigraphic uptake of 99mTc at non-painful sites in athletes with stress fractures. The concept of bone strain. Sports Med 4(1):65–75
Matin P, Lang G, Carretta R et al (1983) Scintigraphic evaluation of muscle damage following extreme exercise: concise communication. J Nucl Med 24(4):308–311
Maurer AH (1991) Nuclear medicine in evaluation of the hand and wrist. Hand Clin 7(1):183–200
McBryde AM Jr (1975) Stress fractures in athletes. J Sports Med 3(5):212–217
McBryde AM (1985) Stress fractures in runners. Clin Sports Med 4:737–752
Miller JH, Sanderson RA (1988) Scintigraphy of toddler’s fracture. J Nucl Med 29(12):2001–2003
Miyamoto RG, Dhotar HS, Rose DJ et al (2009) Surgical treatment of refractory tibial stress fractures in elite dancers: a case series. Am J Sports Med 37(6):1150–1154
Mohamed A, Ryan P, Lewis M et al (1997) Registration bone scan in the evaluation of wrist pain. J Hand Surg [Br] 22(2):161–166
Mohan HK, Gnanasegaran G, Vijayanathan S et al (2010) SPECT/CT in imaging foot and ankle pathology-the demise of other coregistration techniques. Semin Nucl Med 40(1):41–51
Murray IPC, Frater CJ (1994) Prominence of the C2 vertebra on SPECT. A normal variant. Clin Nucl Med 19(10):855–859
Murray IPC, Dixon J, Kohan L (1990) SPECT for acute knee pain. Clin Nucl Med 15:828–840
Nadel HR (2010) Pediatric bone scintigraphy update. Semin Nucl Med 40(1):31–40
Nimkin K, Kleinman PK (2001) Imaging of child abuse. Radiol Clin North Am 39(4):843–864
O’Brien FJ, Brennan O, Kennedy OD et al (2005) Microcracks in cortical bone: how do they affect bone biology? Curr Osteoporos Rep 3(2):39–45
Orava S (1980) Stress fractures. Br J Sports Med 14(1):40–44
Orava S, Jormakka E, Hulkko A (1981) Stress fractures in young athletes. Arch Orthop Trauma Surg 98(4):271–274
Orava S, Karpakka J, Hulkko A et al (1991) Stress avulsion fracture of the tarsal navicular. An uncommon sports-related overuse injury. Am J Sports Med 19(4):392–395
Pagenstert GI, Barg A, Leumann AG et al (2009) SPECT-CT imaging in degenerative joint disease of the foot and ankle. J Bone Joint Surg Br 91(9):1191–1196
Park HM, Kernek CB, Robb JA (1988) Early scintigraphic findings of occult femoral and tibial fractures in infants. Clin Nucl Med 13(4):271–275
Park JY, Park SG, Keum JS et al (2009) The diagnosis and prognosis of impingement syndrome in the shoulder with using quantitative SPECT assessment: a prospective study of 73 patients and 24 volunteers. Clin Orthop Surg 1(4):194–200
Patel N, Collier BD, Carrera GF et al (1992) High-resolution bone scintigraphy of the adult wrist. Clin Nucl Med 17:449–453
Peh WC, Khong PL, Yin Y et al (1996) Imaging of pelvic insufficiency fractures. Radiographics 16(2):335–348
Pester S, Smith PC (1992) Stress fractures in the lower extremities of soldiers in basic training. Orthop Rev 21(3):297–303
Peterson HA (1996) Physeal and apophyseal injuries. In: Rockwood CAJ, Wilkins KE, Beaty JH (eds) Fractures in children, 4th edn. J.B. Lippincott, Philadelphia, pp 103–166
Raby N, Matthews S (1993) Symptomatic spondylolysis: correlation of CT and SPECT with clinical outcome. Clin Radiol 48:97–99
Rangger C, Kathrein A, Freund MC et al (1998) Bone bruise of the knee. Histology and cryosections in 5 cases. Acta Orthop Scand 69(3):291–294
Roach PJ, Cooper RA (1993) Arm-splints seen on a bone scan in a volleyball player. Clin Nucl Med 18:900–901
Rolfe EB, Garvie NW, Khan MA et al (1981) Isotope bone imaging in suspected scaphoid trauma. Br J Radiol 54(645):762–767
Ryan PJ (2000) Bone SPECT of the knees. Nucl Med Commun 21(10):877–885
Ryan PJ, Fogelman I (1994) The role of nuclear medicine in orthopaedics [see comments]. Nucl Med Commun 15(5):341–360
Ryan PJ, Chauduri R, Bingham J et al (1996) A comparison of MRI and bone SPET in the diagnosis of knee pathology. Nucl Med Commun 17(2):125–131
Ryan PJ, Reddy K, Fleetcroft J (1998) A prospective comparison of clinical examination, MRI, bone SPECT, and arthroscopy to detect meniscal tears. Clin Nucl Med 23(12):803–806
Sahar ND, Hong SI, Kohn DH (2005) Micro- and nano-structural analyses of damage in bone. Micron 36(7–8):617–629
Scharf S (2009) SPECT/CT imaging in general orthopedic practice. Semin Nucl Med 39(5):293–307
Schiepers C, Nuyts J, Bormans G et al (1997) Fluoride kinetics of the axial skeleton measured in vivo with fluorine-18-fluoride PET. J Nucl Med 38(12):1970–1976
Seitz JP, Unguez CE, Corbus HF et al (1995) SPECT of the cervical spine in the evaluation of neck pain after trauma. Clin Nucl Med 20(8):667–673
Shah MK, Stewart GW (2002) Sacral stress fractures: an unusual cause of low back pain in an athlete. Spine 27(4):E104–E108
Shea MP, Manoli A (1993) Osteochondral lesions of the talar dome. Foot Ankle 14:48–55
Sherman GM, Seitz WH (1999) Fractures and dislocations of the wrist. Curr Opin Orthop 10:237–251
Sinha P, Kim A, Umans H et al (2000) Scintigraphic findings in peroneal tendonitis: a case report. Clin Nucl Med 25(1):17–19
Slizofski WJ, Collier BD, Flatley TJ et al (1987) Painful pseudarthrosis following lumbar spinal fusion: detection by combined SPECT and planar bone scintigraphy. Skeletal Radiol 16(2):136–141
So Y, Chung JK, Seong SC et al (2000) Usefulness of 99Tcm-MDP knee SPET for pre-arthroscopic evaluation of patients with internal derangements of the knee. Nucl Med Commun 21(1):103–109
Sopov W, Groshar D (1999) Asymptomatic fatigue fracture of the proximal ulna associated with symptomatic fatigue fractures of the lower limbs. Clin Nucl Med 24(6):443–444
Sopov W, Rozenbaum M, Rosner I et al (1999) Scintigraphy of de Quervain’s tenosynovitis. Nucl Med Commun 20(2):175–177
Spitz J, Becker C, Tittel K et al (1992) Clinical relevance of whole body skeletal scintigraphy in multiple injury and polytrauma patients. Unfallchirurgie 18(3):133–147
Spitz J, Lauer I, Tittel K et al (1993) Scintimetric evaluation of remodeling after bone fractures in man. J Nucl Med 34(9):1403–1409
Stroud CC, Marks RM (2000) Imaging of osteochondral lesions of the talus. Foot Ankle Clin 5(1):119–133
Strouse PJ, Owings CL (1995) Fractures of the first rib in child abuse. Radiology 197(3):763–765
Sty JR, Starshak RJ (1983) The role of bone scintigraphy in the evaluation of the suspected abused child. Radiology 146(2):369–375
Suarez MS, Andres RP, de Pablo PP et al (2009) Utility of bone SPECT-CT in percutaneous vertebroplasty. Rev Esp Med Nucl 28(6):291–294
Thorpe AP, Murray AD, Smith FW et al (1996) Clinically suspected scaphoid fracture: a comparison of magnetic resonance imaging and bone scintigraphy. Br J Radiol 69(818):109–113
Tiel-van Buul MM, van Beek EJ, van Dongen A et al (1992) The reliability of the 3-phase bone scan in suspected scaphoid fracture: an inter- and intraobserver variability analysis. Eur J Nucl Med 19(10):848–852
Tiel-van Buul MM, Roolker W, Verbeeten BW et al (1996) Magnetic resonance imaging versus bone scintigraphy in suspected scaphoid fracture. Eur J Nucl Med 23(8):971–975
Umans H (2002) Ankle impingement syndromes. Semin Musculoskelet Radiol 6(2):133–140
Van der Wall H, Frater CJ, Magee MA et al (1999) A novel view for the scintigraphic assessment of the elbow. Nucl Med Commun 20:1059–1065
Van der Wall H, Storey G, Frater C et al (2001) Importance of positioning and technical factors in anatomic localization of sporting injuries in scintigraphic imaging. Semin Nucl Med 31(1):17–27
Van der Wall H, Magee M, Reiter L et al (2006) Degenerative spondylolysis: a concise report of scintigraphic observations. Rheumatology (Oxford) 45(2):209–211
Versijpt J, Dierckx RA, De Bondt P et al (1999) The contribution of bone scintigraphy in occupational health or medical insurance claims: a retrospective study. Eur J Nucl Med 26(8):804–811
Volpin G, Hoerer D, Groisman G et al (1990) Stress fractures of the femoral neck following strenuous activity. J Orthop Trauma 4(4):394–398
Wildin CJ, Bhowal B, Dias JJ (2001) The incidence of simultaneous fractures of the scaphoid and radial head. J Hand Surg [Br] 26(1):25–27
Williams TR, Puckett ML, Denison G et al (2002) Acetabular stress fractures in military endurance athletes and recruits: incidence and MRI and scintigraphic findings. Skeletal Radiol 31(5):277–281
Wolff J (1986) The law of bone remodeling. Springer, Berlin
Yeung MS, Chan KM, So CH et al (1994) An epidemiological survey on ankle sprain. Br J Sports Med 28(2):112–116
Yildirim M, Gursoy R, Varoglu E et al (2004) 99mTc-MDP bone SPECT in evaluation of the knee in asymptomatic soccer players. Br J Sports Med 38(1):15–18
Yngve DA (1988) Stress fractures in the pediatric athlete. In: Sullivan JA, Grana WA (eds) The pediatric athlete. American Academy of Orthopedic Surgeons, Park Ridge, p 235
Zwas ST, Elkanovitch R, Frank G (1987) Interpretation and classification of bone scintigraphic findings in stress fractures. J Nucl Med 28(4):452–457
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Van der Wall, H., Cusi, M., Elison, B., Frater, C., Bruce, W. (2012). Bone Scintigraphy in Trauma and Sport Injuries. In: Fogelman, I., Gnanasegaran, G., van der Wall, H. (eds) Radionuclide and Hybrid Bone Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02400-9_19
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