PEDIATRICS Vol. 70 No. 1 July 1982, pp. 11-15
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Early Scintigraphic Diagnosis of Bone Stress and Fractures in Athletic Adolescents

P. R. Rosen USAF1, Lyle J. Micheli MD1, and S. Treves MD1

1 Department of Nuclear Medicine, Wilford Hall US Air Force Medical Center, Lackland Air Force Base, Texas; and Divisions of Nuclear Medicine and Sports Medicine, The Children's Hospital Medical Center, Harvard Medical School, Cambridge, Massachusetts

A study of radionuclide bone scintigraphy in adolescents was conducted to evaluate the pattern of stress-related abnormalities and their correlation with both symptoms and roentgenography. In 26 episodes of stress-related abnormal scintigraphy, 12 (46%) had a multifocal pattern of abnormalities. Forty foci were identified by scintigraphy, with 11 (28%) exhibiting abnormal roentgenograms. These multiple abnormalities were frequently unsuspected clinically, and studies limited to symptomatic areas would have failed to detect them. It is recommended that patients with stress-related symptoms be screened utilizing radionuclide bone scintigraphy to facilitate the early detection of abnormalities in bone prior to the development of cortical disruption, thereby preventing increased morbidity and possible disabling sequelae.

Submitted on July 29, 1981
Accepted on September 18, 1981




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