title: [Detection of primarily unrecognized fractures in severely injured patients by skeletal scintigraphy].
abstract: Even in despite of diligent investigation clinical and radiological diagnostics can leave fractures unrecognized in seriously injured patients. Bone-scans of 53 patients revealed 68 additional fractures. In 45% of all cases the initial diagnosis was altered, 19% resulted in therapeutical consequences. Routine diagnostics should be supplemented by a bone-scan if clinical and radiological findings are not in line. A bone-scan can exclude any osseous lesion and can survey the full extent of injuries especially in the disoriented or unconscious patient.
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Johannes Gutenberg-Universität Mainz.
authors.forename: M
authors.initials: M
authors.lastname: Runkel
authors.forename: K
authors.initials: K
authors.lastname: Wenda
authors.forename: L
authors.initials: L
authors.lastname: Rudig
authors.forename: H
authors.initials: H
authors.lastname: Steinert
authors.forename: P
authors.initials: P
authors.lastname: Grebe
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001842:Bone and Bones / Q000000981:diagnostic imaging; D005260:Female; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging
vernacular_title: Nachweis von primär nicht erkannten Frakturen bei Schwerverletzten durch Skelettszintigraphie.