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Traumatic, Surgical, Sports, and Thermal and Cold Injuries of the Skeleton

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Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases

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Abstract

The high sensitivity and reliability of bone scintigraphy in the diagnosis of fractures, sports injuries, and operative lesions of bone are well known. 99mTc-MDP bone scintigraphy aided by pinhole scanning is particularly useful for the diagnosis of covert fractures in complex anatomical sites and small bones, bone contusion, stress fracture, and traumatic enthesopathy. Many of these conditions are elusory or even invisible not only on ordinary radiographs but also on CT scans that uses slices in which not every small anatomical part is included. Retractor rib injuries such as periosteal stripping, contusion, fracture, and costovertebral articular severance constitute another important indication for bone scintigraphy. Pinhole scintigraphy appears to be the method of choice for detecting these seemingly trivial yet clinically worrisome injuries. This technique has also been shown to be extremely useful for noninvasive anatomical and biochemical assessment of traumatized articulations, muscles, tendons, and entheses, and even blood vessels. Furthermore, bone scintigraphy uniquely and often decisively provides real-time information on the vascularity and viability of fractured bone fragments and implanted bones as well as the existence, progress and quality of callus, and associated periosteal or adjacent soft-tissue mineralization.

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  1. Yong-Whee Bahk

    Present address: Depart. of Nuclear Med. and Radiology, Sun Ae General Hospital, Seoul, Korea, Republic of

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    Bahk, YW. (2013). Traumatic, Surgical, Sports, and Thermal and Cold Injuries of the Skeleton. In: Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-25144-3_16

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    • DOI: https://doi.org/10.1007/978-3-642-25144-3_16

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    • Online ISBN: 978-3-642-25144-3

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