Bone scintigraphy was performed before or after osteosynthesis or both in 11 children aged 9 to 14 years with femoral neck fractures. The role of bone scintigraphy in predicting development of femoral head necrosis with subsequent collapse was studied. Scintigraphy was not a useful study for this purpose. The explanation of this may be that reposition and osteosynthesis jeopardize the blood supply to the femoral head and invalidates the findings at the pre-operative scan. The childhood femoral head also has a strong potential for revascularization and complete reconstruction of the necrotic bone.
CanaleT.BourlandW.: Fracture of the neck and intertrochanteric region of the femur in children. J. Bone Jt Surg. 59-A (1977), 431.
2.
D'AmbrosiaR.ShojiH.RigginsR.StadalnikR.DeNardoG.: Scintigraphy in the diagnosis of osteonecrosis. Clin. Orthop. Rel. Res.130 (1978), 139.
3.
GelfandM.BallW.OestreichA.CrawfordA.JolsonR.PerlmanA.: Transient loss of femoral head Tc-99m diphosphonate uptake with prolonged maintenance of femoral head architecture. Clin. Nucl. Med.8 (1983), 347.
4.
HiranoT.TaguchiA.SuzukiR.IwasakiK.: Correlation of 99mTc-MDP scintimetry and histology in cervical hip fracture. Acta Orthop. Scand.58 (1987), 33.
JacobssonB.DalénN.: Femoral head vitality after peroperative impaction of hip fractures. Acta Orthop. Scand.56 (1985), 312.
7.
JohnsonJ.CrothersO.: Revascularization of the femoral head. A clinical and experimental study. Clin. Orthop. Rel. Res.114 (1976), 364.
8.
LamF.: Fractures of the neck of the femur in children. J. Bone Jt Surg. 53-A (1971), 1165.
9.
LucieS.FullerS.BurdickD.JohnstonR.: Early prediction of avascular necrosis of the femoral head following femoral neck fractures. Clin. Orthop. Rel. Res.161 (1981), 207.
10.
PförringerW.RosemeyerB.: Fractures of the hip in children and adolescents. Acta Orthop. Scand.51 (1980), 91.
11.
RatliffA.: Complications after fractures of the femoral neck in children and their treatment. J. Bone Jt Surg. 52-B (1970), 175.
12.
StevensJ.RayR.: An experimental comparison of living and dead bone in rats. Physical properties. J. Bone Jt Surg. 44-B (1962), 412.
13.
StrömqvistB.BrismarJ.HanssonL.PalmerJ.: 99mTc-MDP scintimetry after femoral neck fracture. A three-year follow-up. Clin. Orthop.182 (1984), 177.
14.
StrömqvistB.BrismarJ.HanssonL.ThorngrenK.-G.: External and biopsy determination of preoperative Tc-99m MDP femoral-head labeling in fracture of the femoral neck. Concise communication. J. Nucl. Med.25 (1984), 854.
