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Radiology, Vol 130, 447-451, Copyright © 1979 by Radiological Society of North America

ARTICLES

Skeletal scintigraphy following incidental trauma

HR Kim, JH Thrall and JW Keyes Jr

The significance of antecedent trauma in skeletal scintigraphy was assessed in 503 patients, of whom 241 (46%) had prior fracture or tooth extraction. In patients with sufficiently accurate histories for site- by-site analysis, 33 of 131 fracture sites and 16 of 83 dental- procedure sites were positive scintigraphically. In general, the frequency of scan positivity diminished as the interval between trauma and scanning increased, but a significant number of patients showed prolonged uptake at fracture sites. Several patterns of uptake suggested trauma rather than metastatic disease. Knowledge of a history of trauma is often critical in bone scan interpretation.


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