The use of Technetium-99 pyrophosphate scanning in management of high voltage electrical injuries.
The surface thermal burn associated with high voltage (HV) electrical injuries represents only the tip of the iceberg. Occult muscle damage may not become apparent for 5 to 10 days. In this study, the efficacy of Technetium-99m (Tc) pyrophosphate scanning was investigated. Early scanning (within 3 days of injury) of 19 limbs in 15 patients demonstrated a sensitivity of 75 per cent, with a specificity of 100 per cent. The predictive value of a positive test, however, was 100 per cent. Compared to a control group of 17 patients treated without Tc scan, the scan was not associated with reduced hospital length of stay or with decrease in the number of surgical procedures.
Hammond
J
J
UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903-0019.
Ward
C G
CG
D001134:Arm Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D002058:Burns, Electric / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007869:Leg Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D007902:Length of Stay; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D011877:Radionuclide Imaging; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D016698:Technetium Tc 99m Pyrophosphate; D013933:Thumb / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery
D016698:Technetium Tc 99m Pyrophosphate