Diffuse femoral uptake on bone scan after fracture in an infant.
A case is described of a 21 month old infant with a fractured mid-shaft of femur following a fall. While the fracture was clearly visualised on X-ray, radionuclide bone scanning showed diffusely increased uptake throughout the femur with no focal uptake at the fracture site. Fractures of any etiology, including child abuse, should always be considered in the differential diagnosis of diffusely increased long bone uptake on bone scintigraphy in children.
Department of Nuclear Medicine, Royal North Shore Hospital, Sydney, Australia.
J
J
Roach
R
R
Höschl
D002649:Child Abuse / Q000175:diagnosis; D003937:Diagnosis, Differential; D005264:Femoral Fractures / Q000000981:diagnostic imaging* / Q000378:metabolism; D005269:Femur / Q000000981:diagnostic imaging* / Q000378:metabolism; D005500:Follow-Up Studies; D005592:Fracture Fixation; D017102:Fracture Healing; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D011877:Radionuclide Imaging; D013669:Technetium Tc 99m Medronate / Q000493:pharmacokinetics
D013669:Technetium Tc 99m Medronate