Korean J Thorac Cardiovasc Surg.
1998 Nov;31(11):1085-1088.
Availability of Bone Scan in Chest Trauma Patients
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery Kimhae Gtospel Hospital, Korea.
Abstract
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BACKGROUND: In trauma patients, bony thorax are exposured to the trauma in many cases. With simple x-ray, we can not detect all definitive bony abnormalities, especially in less severe cases. Bone scan is very sensitive diagnostic method in such cases. MATERIALS AND METHODS: We experienced 680 cases and results were as follows. RESULTS: 1. Diagnostic sensitivity was 97.4% and false negative rate was 2.6%. 2. In sensitivity study, the time factor (when we perform bone scan) was the most important thing according to trauma pattern. In rib fracture, sensitive test time was after 1 week. In sternal fracture, sensitive test time was after 1 week, too. In costochondral junction fracture and combined cases, it was after 3 days.
CONCLUSIONS
We recommend timely using of bone scan as definitive diagnostic method in bony thorax trauma patients.