Published online Oct 31, 2010.
https://doi.org/10.12671/jkfs.2010.23.4.386
False Negative Bone Scan in 56-year Old Man with L2 Compression Fracture Performed 78 Hours after Trauma - A Case Report -
Abstract
It is very rare that the bone scan after 72 hours from the trauma doesn't exhibit the increased radio-nuclide uptake in the patient with fracture. The purpose of this study is to report the case that indicate the false negative finding in the bone scan performed after 78 hours from the trauma in the 56-year-old man with L2 compression fracture, including a review of the relevant literatures.
Fig. 1
Radiographs show anterior compression and kyphosis of L2 vertebral body in AP and lateral view.
Fig. 2
CT scan shows compression of L2 vertebral body.
Fig. 3
Bone scan performed at 78 hours of post-trauma shows no abnormal uptake in L2 vertebra.
Fig. 4
MRI performed at 2 months after trauma shows signals indicating recently developed compression fracture of L2 vertebra.
Fig. 5
Bone scan performed at 2 months after trauma shows increased uptake in L2 vertebra.
References
-
Jung JH, Kim JK, Jin W, et al. The value of radionuclide imaging as a screening test for the diagnosis of an acute thoracic spinal fractures. J Korean Soc Emerg Med 2005;16:1–5.
-
-
Kaye M, Silverton S, Rosenthall L. Technetium-99m-pyrophosphate: studies in vivo and in vitro. J Nucl Med 1975;16:40–45.
-
-
Kim BH, Im JI, Kim DJ, Park JY. Diganostic values of bone scan followed by CT scan in undetected pelvic bone fracture. J Korean Orthop Assoc 1997;32:523–529.
-
-
Kim HR, Thrall JH, Keyes JW Jr. Skeletal scintigraphy following incidental trauma. Radiology 1979;130:447–451.
-
-
Matin P. The appearance of bone scans following fractures, including immediate and long-term studies. J Nucl Med 1979;20:1227–1231.
-
-
Subramanian G, McAfee JG. A new complex of 99mTc for skeletal imaging. Radiology 1971;99:192–196.
-
-
Yao L, Lee JK. Occult intraosseous fracture: detection with MR imaging. Radiology 1988;167:749–751.
-