Diagnosis of traumatic myositis of the intrinsic muscles of the hand by the use of three-phase skeletal scintigraphy.
A case of traumatic myositis of the intrinsic muscles of the hand is presented. This is believed to be the first report in which the diagnosis of this type of soft tissue injury was made based upon phases I and II of a three-phase bone scan. An incorrect diagnosis of primary skeletal injury could have been made if delayed, 3-4 hour (phase III) imaging alone had been performed because there was augmented uptake of tracer in the normal bone adjacent to the area of soft tissue hyperemia. This report emphasizes the need to perform three-phase scintigraphy to diagnose nonskeletal injury in patients with suspected bone trauma or pain of unknown etiology.
Maurer
A H
AH
Department of Diagnostic Imaging, Temple University, Hospital, Philadelphia, Pennsylvania 19140.
Paczolt
E A
EA
Myers
A R
AR
D006230:Hand Injuries / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009220:Myositis / Q000000981:diagnostic imaging* / Q000209:etiology; D011875:Radionuclide Angiography / Q000379:methods; D013669:Technetium Tc 99m Medronate
D013669:Technetium Tc 99m Medronate