Whole Body Bone Scan for Detecting Missed Bone Injuries in Multiple Trauma Patients.
10.17479/jacs.2017.7.2.56
- Author:
Hong Yoon JEONG
1
;
Im kyung KIM
;
Seo Hee CHOI
;
Changro LEE
;
Man Ki JU
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. mkju@yuhs.ac
- Publication Type:Original Article
- Keywords:
Whole body bone scan;
Missed injuries;
Multiple trauma
- MeSH:
Ankle;
Demography;
Fractures, Multiple;
Humans;
Injury Severity Score;
Multiple Trauma*;
Physical Examination;
Ribs;
Skull;
Sternum;
Tertiary Care Centers;
Tibia
- From:
Journal of Acute Care Surgery
2017;7(2):56-60
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Patients with multiple traumas often experience multiple fractures that are missed or overlooked, despite the use of imaging, careful history taking, and physical examinations. This study aimed to evaluate the usefulness of whole body bone scan (WBBS) for detecting missed bone injuries in patients with multiple traumas. METHODS: We evaluated 30 patients with multiple traumas who underwent WBBS at single tertiary referral center between March 2008 and February 2016. We assessed the association of patient demographics with WBBS uptake as a binomial outcome variable. RESULTS: There were no significant differences in patient demographics by WBBS. The mean injury severity score did not differ by WBBS (18.1 in the WBBS-negative group vs. 18.4 in the WBBS-positive group), and duration from admission to the evaluation of the WBBS was similar (5.4 days in both groups). The most common uptake site in the WBBS was the ribs (n=7), followed by the tibia (n=3), skull (n=2), ankle (n=1), and sternum (n=1). None of the missed injuries required further treatment, such as manual reduction or surgery. CONCLUSION: WBBS was useful for detecting missed bone injuries in patients with multiple trauma.
