99Tcm-MDP bone scanning of injuries of the carpal scaphoid.
Injury
; 19(1): 14-7, 1988 Jan.
Article
en En
| MEDLINE
| ID: mdl-3169970
Clinical injuries of the carpal scaphoid are frequently seen at accident and emergency departments. Some exhibit delayed radiographic visualization of a fracture. The radioisotope bone scan is a sensitive test and increased uptake is observed in healing fractures. Twenty-three patients with an initial diagnosis of clinical fractures of the scaphoid were studied clinically, radiologically and independently by 99Tcm-MDP isotope scans. Three-quarters of the patients required only 1 month's management. Their corresponding bone scans were normal or not suggestive of a fracture. The remaining 25 per cent, who clinically required a more prolonged treatment (greater than or equal to 5 weeks' immobilization), were noted independently to have positive scans whether a fracture was observed or not. It is concluded that there is a stronger correlation between clinical examination and a bone scan than with a standard radiographic examination. It is proposed that patients still tender at 3 weeks should have a carpal isotope bone scan to identify if there is an important wrist injury and appropriate treatment commenced.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Huesos del Carpo
/
Fracturas Óseas
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Evaluation_studies
/
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Injury
Año:
1988
Tipo del documento:
Article
Pais de publicación:
Países Bajos