Abstract
The high sensitivity of bone scintigraphy in the diagnosis of fractures, sports injuries, and operative lesions of bone is well documented. The examination is particularly valuable in the study of bone contusion, stress fracture, enthesopathy, and covert fractures in the rib cage, sternum, spine, and facial bones. Rib injuries including retractor compression and severed costovertebral joints during open chest surgery constitute another important indication. Many of these lesions are either elusory or invisible on ordinary radiograms. Bone scintigraphy reinforced with the pinhole technique appears to be the best primary test for these seemingly trivial yet worrisome pathologies. In addition, it often plays a significant role in assesssing the vascularity and viability of fracture fragments or graft bones as well as callus formation.
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References
Berggren A, Weiland AJ, Ostrup LT (1982) Bone scintigraphy in evaluation of viability of composite bone grafts revascularized by micro-vascular anastomoses, conventional autogenous bone grafts and free nonrevascularized periosteal grafts. J Bone Joint Surg [Am] 64:799–809
Cruess RL, Dumont J (1975) Healing of bone, tendon and ligament. In: Rockwood CA Jr, Green DP (eds) Fractures. Lippincott, Philadelphia
Dee P, Lambruschi PG, Hiebert JM (1981) The use of Tc-99m MDP bone scanning in the study of vascularized bone implants. J Nucl Med 22:522–525
Geslin GE, Thrall JH, Espinosa JL, et al (1976) Early detection of stress fractures using Tc-99m-polyphos-phate. Radiology 121:683–687
Harbert JC, George FH, Kerner ML (1981) Differentiation of rib fractures from metastases by bone scanning. Clin Nucl Med 6:359–361
Lisbona A, Rennie WRJ, Daniel RK (1980) Radionuclide evaluation of free vascularized bone graft viability. AJR 134:387–388
Matin P (1979) Appearance of bone scans following fractures including immediate and long-term studies. J Nucl Med 20:1227–1331
Roub LW, Gumerman LW, Hanley EN Jr, et al (1979) Bone stress: a radionuclide imaging prospective. Radiology 132:431–438
Sweet DE, Allman RM (1971) Stress fracture. RPC of the month from the AFIP. Radiology 99:687–692
Taylor GA (1983) The current status of free vascularized bone grafts. Clinics Plast Surg 10:185–208
Yao L, Lee JK (1988) Occult intraosseous fracture: detection with MR iamging. Radiology 167:749–751
Zwas ST, Elkanovitch R, Frank G (1987) Interpretation and classification of bone scintigraphic findings in stress fractures, J Nucl Med 28:452–457
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© 1994 Springer-Verlag Berlin Heidelberg
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Bahk, Y.W. (1994). Traumatic and Sports Injuries of Bone. In: Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-06294-4_14
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DOI: https://doi.org/10.1007/978-3-662-06294-4_14
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-06296-8
Online ISBN: 978-3-662-06294-4
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