Nielsen P T, Hedeboe J, Thommesen P
Acta Orthop Scand. 1983 Apr;54(2):303-6. doi: 10.3109/17453678308996574.
The purpose of the present prospective study was to assess the value of 99m-Tc-MDP wrist scintigraphy performed as a routine examination in excluding or detecting carpal scaphoid bone fracture. The following conclusions are drawn: 99m-Tc-MDP wrist scintigraphy is of high sensitivity, but low specificity in the detection of scaphoid bone fractures. The scintigraphy is expedient to exclude scaphoid bone fracture, if performed after secondary clinical and radiographic assessment, and guided by negative scintigrams a reduction of clinical examinations, radiographies and superfluous casting days is achieved.
本前瞻性研究的目的是评估将99m锝-亚甲基二膦酸盐（99m-Tc-MDP）腕关节闪烁扫描作为常规检查在排除或检测腕舟骨骨折方面的价值。得出以下结论：99m-Tc-MDP腕关节闪烁扫描在检测舟骨骨折方面具有高敏感性，但特异性较低。如果在二级临床和影像学评估之后进行闪烁扫描，并且以阴性闪烁扫描图为指导，该闪烁扫描便于排除舟骨骨折，从而减少临床检查、影像学检查及不必要的石膏固定天数。
