The value of isotope scanning in patients with clinical signs of fracture of the carpal scaphoid bone and negative or non-diagnostic initial radiographs was examined. 30 patients were examined using both radiography and isotope scanning. A normal scan excludes a fracture. Increased activity localized to the scaphoid bone indicates a fracture. 9 patients had fracture of the scaphoid evident on bone scans within 2 weeks of the injury. It took 2–6 weeks before these fractures showed up on radiographs.
Get full access to this article
View all access options for this article.
References
1.
HAVERUNG, M, and M SYLVÉN (1978). Soft Tissue Abnormalities at Fracture of the Scaphoid. Acta Radiologica Diagnosis, 19, 497-501.
2.
HERNESS, D, and MA PASSNER (1977). Some aspects of bone grafting for non-union of the carpal navicular. Acta Orthopaedica Scandinavica, 48, 373-8.
3.
KIM, HR, JH THRALL, and JW KEYES (1979). Skeletal scintigraphy following incidental trauma. Radiology, 130, 447.
4.
MATIN, P (1979). The appearance of scoliotic bone scans following fractures including immediate and long-term studies. Journal of Nuclear Medicine, 20, 1227.
5.
MUNCK JORGENSEN, T, JH ANDRESEN, P THOMMESSEN, and H HVID HANSEN (1979). Scanning and Radiology of the Carpal Scaphoid Bone. Acta Orthopaedica Scandinavica, 50, 663-665.
6.
PRATHER, JL, ML NUSYNOWITZ, HA SNOWDY, AD HUGHES, WH McCARTNEY, and RJ BAGG (1977). Scintigraphic Findings in Stress Fractures. The Journal of Bone and Joint Surgery, 59A, 869-874.
7.
ROSENTHAL, L, RO HILL, and S CHUANG (1976). Observation on the use of 99 mTc-phosphate imaging in peripheral bone trauma. Radiology, 119, 637.
8.
SOUTHCOTT, R, and MA ROSMAN (1977). Non union of fractures in children. The Journal of Bone and Joint Surgery, 59B, 20-30.
9.
SY, WM, R BAY, and A CAMERA (1977). Hand Images: Normal and Abnormal. Journal of Nuclear Medicine, 18, 419-424.
10.
TERRY, DW, Jr, and JE RAMIN (1975). The navicular Fat Stripe. A Useful Roentgen Feature for Evaluating Wrist Trauma. The American Journal of Roentgenology, Radium Therapy and Nuclear Medicine, 124, 25-28.