J Korean Fract Soc.  2005 Jul;18(3):227-231. 10.12671/jkfs.2005.18.3.227.

Value of Preoperative Bone Scan in Evaluation of Femur Shaft Fracture

• Seo YJ
• Kwon SE
• Chang JD

• KMID: 1905602
• DOI: http://doi.org/10.12671/jkfs.2005.18.3.227

Abstract

PURPOSE: To evaluate the availability of bone scan as a preoperative study by analyzing patients who developed ipsilateral femoral neck fractures during intramedullary nailing for femoral shaft fractures.
MATERIALS AND METHODS
Among 28 patients who conducted preoperative bone scan before performing intramedullary nailing for femoral shaft fractures, three patients developed femoral neck fractures during the operation. We analyzed retrospectively the result of bone scan including clinical and radiological findings of three patients.
RESULTS
Among 28 patients, 7 showed hot uptake in femoral neck area compared to the unaffected side in preoperative bone scan; All 3 patients who developed femoral neck fractures during the operaion showed hot uptakein the area. Among 7 patients who showed hot uptake, there were no abnormalities in plain radiograph and computerized tomography of femoral neck area.
CONCLUSION
The risk of femoral neck fracture should be considered during the intramedullary nailing for femoral shaft fracture, if there was hot uptake in femoral neck area in preoperative bone scan.

Keyword

Femur; Shaft femur; Neck fracture; Intramedullary nailing

MeSH Terms

Femoral Neck Fractures
Femur Neck
Femur*
Fracture Fixation, Intramedullary
Humans
Retrospective Studies