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View second image(xr). Right femur plain films
Full history/Diagnosis is available below
- Ovoid focal uptake at medial aspect of proximal right femoral metadiaphysis.
2. Right femur:
- Periosteal formation correlating with scintigraphic abnormality.
Bone scintigraphy becomes positive at the same time or sooner than plain films and has a low false-negative rate. The most common sites of stress fracture are the femoral neck and tibia. Less commonly, the femoral diaphysis may be involved.
Burr D, et al. Experimental stress fractures of the tibia. J of Bone & Joint Surg. 72-B, 370-375. 1990.
Donohoe K. Selected topics in orthopedic nuclear medicine. Orthop clin N Am. 29, 85-101. 1998.
Holder L. Bone scintigraphy in skeletal trauma. Rad clin N Am. 31, 739-781. 1993.
Lesho E. Can tuning forks replace bone scans for identification of tibial stress fractures? Milit Med. 162, 802-803.
Milgrom C, et al. The long-term followup of soldiers with stress fractures. 13, 398-400. 1985.
Wilcox J, et al. Bone scanning in the evaluation of exercise-related stress injuries. Rad. 123, 699-703. 1977.
Zwas ST, et al. Interpretation and classification of bone scintigraphic findings in stress fractures. J Nucl Med. 28, 452-457. 1987.
References and General Discussion of Bone Scintigraphy (Anatomic field:Skeletal System, Category:Effect of Trauma)
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