Occult capitate fracture through a bone island – SPECT/CT arthrography imaging
Authors/Creators
- 1. Department of Radiology and Nuclear Medicine, Lucerne Cantonal Hospital, Lucerne, Switzerland.
- 2. Department of Nuclear Medicine, Humanitas Clinical and Research Hospital, Rozzano, Milan, Italy
- 3. Department of Radiology and Nuclear Medicine, Slingeland Hospital, Doetinchem, The Netherlands.
- 4. Department of Nuclear Medicine, Royal Free London NHS Foundation Trust, London, UK
- 5. Nuclear Medicine Spitalerhof, Spitalerstraße 8, Hamburg, Germany.
- 6. Department of Nuclear Medicine, Antwerp University Hospital, Edegem, Belgium
- 7. Nuclear Medicine, Clinique du Diaconat, Mulhouse, France.
- 8. Clinic of Nuclear Medicine, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
- 9. Department of Nuclear Medicine, Hôpital Lariboisière, Paris, France.
Description
Background: Single photon emission tomography/computed tomography (SPECT/
CT) combines the strengths of bone scintigraphy and CT and serve as an important
alternative to magnetic resonance (MR) imaging in carpal trauma patients if
conventional x-rays are equivocal.
Case presentation: In a young patient with pain 4 days after carpal trauma
conventional x-rays were negative for fracture and MR showed only bone bruise.
SPECT/CT arthrography one month later revealed intensive uptake in the capitate
bone corresponding to a fracture through a bone island on the CT part of the study.
Conclusion: SPECT/CT combines the sensitivity of bone scintigraphy and specificity
of (diagnostic) CT and might serve as an important second line imaging modality for
the detection of occult carpal fracture.
* Correspondence: lidija.antunovic@humanitas.it
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Additional details
Related works
- Cites
- Journal article: 10.1186/s41824-018-0040-4 (DOI)