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Research Article| Volume 17, ISSUE 2, P95-103, March 1986

Static and sequential dynamic scintigraphy of the tibia following fracture

  • P.J. Gregg
    Correspondence
    Requests for reprints should be addressed to: P. J. Gregg frcs, Department of Orthopaedic Surgery, Glenfield General Hospital, Groby Road, Leicester LE3 9QP.
    Affiliations
    University Department of Orthopaedic Surgery and Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle Upon Tyne, UK
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  • C.B. Clayton
    Affiliations
    University Department of Orthopaedic Surgery and Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle Upon Tyne, UK
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  • J.D. Fenwick
    Affiliations
    University Department of Orthopaedic Surgery and Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle Upon Tyne, UK
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  • G.K. Ions
    Affiliations
    University Department of Orthopaedic Surgery and Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle Upon Tyne, UK
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  • S.W.M. Miller
    Affiliations
    University Department of Orthopaedic Surgery and Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle Upon Tyne, UK
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  • S.R. Smith
    Affiliations
    University Department of Orthopaedic Surgery and Regional Medical Physics Department, Royal Victoria Infirmary, Newcastle Upon Tyne, UK
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      Summary

      Eighty patients who had sustained a fracture of the tibial shaft were studied by scintigraphy using technetium-99m labelled methylene diphosphonate (99Tcm MDP) and a gamma camera. Static scintigrams were obtained in the early stages following injury and examined for the presence of ‘cold spots’ which may indicate loss of blood supply to fracture fragments; these were found in 10 per cent of cases but did not bear any definite relationship to the normal progression of union. Sequential dynamic scintigrams were obtained at intervals up to 20 weeks after fracture to determine whether a pattern of uptake of tracer could be identified which correlated with the subsequent progression of union, but no significant difference was observed between fractures healing promptly (<20 weeks) and those in which healing was delayed (>20 weeks).
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