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Annals of Nuclear Medicine

, 18:495 | Cite as

Value of bone scintigraphy in patients with carpal trauma

  • Ümit Ö. Akdemir
  • Tamer Atasever
  • Serkan Sipahioğlu
  • Şeyda TÜrkÖlmez
  • Cemal Kazimoğlu
  • Ertuğrul Şener
Original Article

Abstract

Objective

We planned this study to evaluate the role of bone scintigraphy in patients with suspected carpal fracture and normal or suspicious radiographs following carpal injury.

Methods

Three-phase bone scintigraphy using Tc-99m-MDP was performed on 32 patients with negative radiographs but clinically suspected fracture at two weeks after the trauma. Focally increased radiophar-maceutical uptake was interpreted as a fracture. The final diagnosis was established with clinical follow-up.

Results

Twelve (38%) patients had a normal scan excluding fracture. Twelve patients had a single fracture. Multifocal fracture was present in 8 (25%) patients. Eight patients showed scaphoid fractures; of these three showed single scaphoid fracture, and the other five patients revealed accompanying fractures. Distal radius fractures and carpal bone fractures other than scaphoid were both observed in 12 patients. These were eleven fractures of distal radius; three fractures of pisiform; two fractures of hamate; and single fractures of lunate, trapezium and triquetrum. In one patient there was fracture of a first metacarpal bone.

Conclusion

In patients with suspected carpal bone fracture and normal or suspicious radiographs, bone scintigraphy can be used as a reliable method to confirm or exclude the presence of a scaphoid fracture and to detect clinically unsuspected fractures of distal radius and other carpal bones.

Key words

bone scintigraphy carpal trauma fracture 

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Copyright information

© Springer 2004

Authors and Affiliations

  • Ümit Ö. Akdemir
    • 1
  • Tamer Atasever
    • 1
  • Serkan Sipahioğlu
    • 2
  • Şeyda TÜrkÖlmez
    • 1
  • Cemal Kazimoğlu
    • 2
  • Ertuğrul Şener
    • 2
  1. 1.Department of Nuclear MedicineGazi University Medical FacultyAnkaraTurkey
  2. 2.Department of OrthopedicsGazi University Medical FacultyAnkaraTurkey

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