Differential diagnosis of trampoline fracture from osteomyelitis by bone scan with pinhole collimator.
Ann Nucl Med
; 28(2): 163-6, 2014 Feb.
Article
in En
| MEDLINE
| ID: mdl-24046093
ABSTRACT
A 2-year-old girl with recent history of trampoline fall presented to the A&E Department for complete functional impairment of the left lower extremity and fever. Blood examination revealed an inflammatory syndrome, while plain radiographs were normal. As magnetic resonance imaging was unavailable, a bone scintigraphy was performed. While standard acquisition found an intense uptake focused on the left proximal tibial metaphysis whose appearance was suggestive of acute hematogenous osteomyelitis, complementary acquisition with the pinhole collimator demonstrated that this abnormal uptake was clearly distinct from the cartilage growth plate. One month follow-up radiographs showed a fracture that confirmed the diagnosis of trampoline fracture.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Osteomyelitis
/
Tibial Fractures
/
Accidental Falls
/
Radionuclide Imaging
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Child, preschool
/
Female
/
Humans
Language:
En
Journal:
Ann Nucl Med
Journal subject:
MEDICINA NUCLEAR
Year:
2014
Document type:
Article