Musculoskeletal pain is a common sequela of wilderness related activities. X-ray analysis of persistent musculoskeletal pain often reveals no specific etiology. Nuclear medicine bone scintigraphy has the ability to detect several types of abnormalities which can be missed by plain film techniques. These abnormalities include: 1) stress fracture, 2) enthesopathy, 3) occult fracture. Scintigraphic diagnosis of these injuries can lead to proper and timely treatment while a negative bone scan can effectively rule out osseous injury.
SchimelpfenigT.Epidomiology of wilderness injuries: the NOLS experience. Wild Med (Lett)1992; 9, 6
2.
MatinP.Basic principles of nuclear medicine techniques for detection and evaluation of trauma and sports medicine injuries. Seminars in Nucl Med1988; 18, 90–112
3.
O’MaraR.E.Benign bone disease. In: GottschalkA.HofferP.B.PotchenE.J. eds. Diagnostic Nuclear Medicine, Baltimore: Williams and Wilkins, 1988, 1033–1075
4.
HolderL.E.Clinical radionuclide bone imaging. Radiol1990; 176, 607–614
5.
MatinP.Bone scanning of trauma and benign conditions. In: FreemanL.WeillmanH. eds. Nuclear Medicine Annual 1982, New York: Raven, 1982, 81–118
6.
RogersL.F.Traumatic lesions of bones and joints. In: JuhlJ.H.CrummyA.B. eds. Essentials of radiographic imaging, Philadelphia: J.B. Lippincott, 1987, 34–84
7.
RockettJ.F.MagillH.L.RockettD.C.MoinuddinM.Stress injuries in endurance athletes. Appl Radiol199144–56
8.
RupaniH.D.HolderL.E.EspinolaD.A.EnginS.I.Three-phase radionuclide bone imaging in sports medicine. Radiol1985; 156, 187–196
