Cheow Heok K, Set Patricia, Robinson Susan, Balan Kottekkattu K
Department of Nuclear Medicine, Addenbrookes Hospital, Cambridge, UK.
J Pediatr Orthop B. 2008 Jul;17(4):165-70. doi: 10.1097/BPB.0b013e328301e995.
A retrospective study was performed to evaluate the role of bone scan in the management of wrist trauma in children with equivocal radiographic findings. Thirty-one out of the 50 children showed no fracture. Six of them were treated for a median period of 9 days on clinical grounds; the others were discharged with reassurance. Four patients with evidence of soft tissue injury received no further treatment. Six of the 12 patients with a fracture on bone scan were treated with a cast for more than 4 weeks. None of the patients developed any complications. Bone scan is helpful when the diagnosis of a carpal fracture in children is equivocal.
进行了一项回顾性研究，以评估骨扫描在具有可疑影像学表现的儿童腕部创伤管理中的作用。50名儿童中有31名未显示骨折。其中6名因临床原因接受了为期9天的中位治疗；其他患者在得到安心保证后出院。4名有软组织损伤证据的患者未接受进一步治疗。骨扫描显示骨折的12名患者中有6名接受了超过4周的石膏固定治疗。所有患者均未出现任何并发症。当儿童腕骨骨折的诊断不明确时，骨扫描是有帮助的。
