Korean J Thorac Cardiovasc Surg.  2002 Jun;35(6):454-459.

Significance of Bone Scan in Chest Trauma

• Kim SS
• Kim S

Abstract

BACKGROUND: Clinical analysis of the relation between the clinical data of chest trauma patients and bone scan results was done to investigate the sensitivity and specificity of bone scan for the diagnosis of rib or chondral fracture. MATERIALS AND METHOD: 445 patients treated due to chest trauma in Dongguk University Kyungju Hospital from July 1998 to December 2001 were studied.Age and sex distribution,causes of chest trauma,interval from the injury to arrival at hospital,final diagnosis,relationship between the chest pain and bone scan results,relationship between local tenderness and bone scan results,and sensitivity and specificity of bone scan were studied. RESULT: The male was 61.6%and the female was 38.4%.Age distribution was nearly even from the twenties to the sixties.The traffic accident was the most common cause of chest injury(60.4%).Most p at i e nt s (76.6%)were arrived to the hospital within 6 hours after chest trauma.Rib fracture was the most common final diagnosis(46.5%).The relationship between the duration of chest pain and tenderness and the bone scan results were significant,and the same in the relationship between the duration of local tenderness and the bone scan results,but the latter is more significant.The sensitivity of bone scan was 99.4%and the specificity was 90.4%.
CONCLUSION
If the patient complains the chest pain continuously and the local tenderness around the chest is continued over 3 weeks,it is good to perform the bone scan.Further study including the MRI may be helpful for more evaluation in chest trauma patients.

Keyword

Chest trauma; Bone scan

MeSH Terms

Accidents, Traffic
Chest Pain
Diagnosis
Female
Gyeongsangbuk-do
Humans
Magnetic Resonance Imaging
Male
Ribs
Sensitivity and Specificity
Thorax*