Occult capitate fracture through a bone island – SPECT/CT arthrography imaging

Abstract Background Single photon emission tomography/computed tomography (SPECT/CT) combines the strengths of bone scintigraphy and CT and serve as an important alternative to magnetic resonance (MR) imaging in carpal trauma patients if conventional x-rays are equivocal. Case presentation In a youn...

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Main Authors: Klaus Strobel, Lidija Antunovic, Wouter van der Bruggen, Gopinath Gnanasegaran, Willm Uwe Kampen, Tim Van den Wyngaert, Edmond Rust, Torsten Kuwert, Frédéric Paycha
Format: Article
Language:English
Published: SpringerOpen 2018-11-01
Series:European Journal of Hybrid Imaging
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41824-018-0040-4
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author Klaus Strobel
Lidija Antunovic
Wouter van der Bruggen
Gopinath Gnanasegaran
Willm Uwe Kampen
Tim Van den Wyngaert
Edmond Rust
Torsten Kuwert
Frédéric Paycha
author_facet Klaus Strobel
Lidija Antunovic
Wouter van der Bruggen
Gopinath Gnanasegaran
Willm Uwe Kampen
Tim Van den Wyngaert
Edmond Rust
Torsten Kuwert
Frédéric Paycha
author_sort Klaus Strobel
collection DOAJ
description Abstract Background Single photon emission tomography/computed tomography (SPECT/CT) combines the strengths of bone scintigraphy and CT and serve as an important alternative to magnetic resonance (MR) imaging in carpal trauma patients if conventional x-rays are equivocal. Case presentation In a young patient with pain 4 days after carpal trauma conventional x-rays were negative for fracture and MR showed only bone bruise. SPECT/CT arthrography one month later revealed intensive uptake in the capitate bone corresponding to a fracture through a bone island on the CT part of the study. Conclusion SPECT/CT combines the sensitivity of bone scintigraphy and specificity of (diagnostic) CT and might serve as an important second line imaging modality for the detection of occult carpal fracture.
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spelling doaj.art-a9f50b3c2788427eb018c61e2262b9e32022-12-22T01:07:30ZengSpringerOpenEuropean Journal of Hybrid Imaging2510-36362018-11-01211410.1186/s41824-018-0040-4Occult capitate fracture through a bone island – SPECT/CT arthrography imagingKlaus Strobel0Lidija Antunovic1Wouter van der Bruggen2Gopinath Gnanasegaran3Willm Uwe Kampen4Tim Van den Wyngaert5Edmond Rust6Torsten Kuwert7Frédéric Paycha8Department of Radiology and Nuclear Medicine, Lucerne Cantonal HospitalDepartment of Nuclear Medicine, Humanitas Clinical and Research HospitalDepartment of Radiology and Nuclear Medicine, Slingeland HospitalDepartment of Nuclear Medicine, Royal Free London NHS Foundation TrustNuclear Medicine SpitalerhofDepartment of Nuclear Medicine, Antwerp University HospitalNuclear Medicine, Clinique du DiaconatClinic of Nuclear Medicine, Friedrich-Alexander-University Erlangen-NürnbergDepartment of Nuclear Medicine, Hôpital LariboisièreAbstract Background Single photon emission tomography/computed tomography (SPECT/CT) combines the strengths of bone scintigraphy and CT and serve as an important alternative to magnetic resonance (MR) imaging in carpal trauma patients if conventional x-rays are equivocal. Case presentation In a young patient with pain 4 days after carpal trauma conventional x-rays were negative for fracture and MR showed only bone bruise. SPECT/CT arthrography one month later revealed intensive uptake in the capitate bone corresponding to a fracture through a bone island on the CT part of the study. Conclusion SPECT/CT combines the sensitivity of bone scintigraphy and specificity of (diagnostic) CT and might serve as an important second line imaging modality for the detection of occult carpal fracture.http://link.springer.com/article/10.1186/s41824-018-0040-4Capitate fractureSPECT/CT arthrographyOccult fracture
spellingShingle Klaus Strobel
Lidija Antunovic
Wouter van der Bruggen
Gopinath Gnanasegaran
Willm Uwe Kampen
Tim Van den Wyngaert
Edmond Rust
Torsten Kuwert
Frédéric Paycha
Occult capitate fracture through a bone island – SPECT/CT arthrography imaging
European Journal of Hybrid Imaging
Capitate fracture
SPECT/CT arthrography
Occult fracture
title Occult capitate fracture through a bone island – SPECT/CT arthrography imaging
title_full Occult capitate fracture through a bone island – SPECT/CT arthrography imaging
title_fullStr Occult capitate fracture through a bone island – SPECT/CT arthrography imaging
title_full_unstemmed Occult capitate fracture through a bone island – SPECT/CT arthrography imaging
title_short Occult capitate fracture through a bone island – SPECT/CT arthrography imaging
title_sort occult capitate fracture through a bone island spect ct arthrography imaging
topic Capitate fracture
SPECT/CT arthrography
Occult fracture
url http://link.springer.com/article/10.1186/s41824-018-0040-4
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