J Korean Fract Soc. 2010 Oct;23(4):386-390. Korean.
Published online Oct 31, 2010.
Copyright © 2010 The Korean Fracture Society
Case Report

False Negative Bone Scan in 56-year Old Man with L2 Compression Fracture Performed 78 Hours after Trauma - A Case Report -

Jeong-Gook Seo, M.D., Hae-Kyun Joo, M.D. and Sung-Tae Kim, M.D.
    • Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Received April 10, 2010; Revised June 29, 2010; Accepted August 17, 2010.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords
Compression fracture; False negative bone scan

Figures

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

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