Brismar J
Department of Diagnostic Radiology, University Hospital, Lund, Sweden.
Acta Radiol. 1988 Jan-Feb;29(1):101-7.
Skeletal scintigraphy was performed in 187 patients with clinical suspicion of a scaphoid fracture but with normal radiographic findings. In 85 patients focally moderately (12 patients) or markedly to intensely (73 patients) increased radionuclide uptake was seen, over either the distal radius or carpal bones. A fracture corresponding to markedly increased uptake was eventually verified in 15 out of 26 patients in the distal radius, in 21 out of 28 in the scaphoid but in only 6 out of 18 in other carpal bones. One fracture of the body and one of the hook of the hamate were found, one fracture of the capitate and three of the triquetrum. Not a single fracture was verified in 10 patients with markedly, often intensely, increased activity over the trapezium/trapezoid. It is concluded that scintigraphy is of value in carpal trauma not only to exclude scaphoid fracture but also to direct the attention to the possibility of other carpal fractures, otherwise usually missed.
对187例临床怀疑有舟骨骨折但X线平片表现正常的患者进行了骨骼闪烁扫描。85例患者在桡骨远端或腕骨可见局部放射性核素摄取中度（12例）或明显至强烈（73例）增加。最终证实，26例桡骨远端放射性摄取明显增加的患者中有15例存在骨折，28例舟骨放射性摄取明显增加的患者中有21例存在骨折，而18例其他腕骨放射性摄取明显增加的患者中仅有6例存在骨折。发现了1例钩骨体骨折和1例钩骨钩骨折，1例头状骨骨折和3例三角骨骨折。在10例大多呈强烈放射性活性增加的大多角骨/小多角骨患者中，未证实有任何骨折。得出的结论是，闪烁扫描在腕部创伤中具有价值，不仅可排除舟骨骨折，还可提醒注意其他腕骨骨折的可能性，否则这些骨折通常会被漏诊。
