Differential diagnosis of trampoline fracture from osteomyelitis by bone scan with pinhole collimator

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• 作者：Mathieu Gauthé (1) (2)
  Danielle Mestas (2)
  Federico Canavese (3)
  Antoine Samba (3)
  Florent Cachin (2)
  
• 关键词：Acute hematogenous osteomyelitis ; Bone scintigraphy ; Gait disorders ; Trampoline fracture
• 刊名：Annals of Nuclear Medicine
• 出版年：2014
• 出版时间：February 2014
• 年：2014
• 卷：28
• 期：2
• 页码：163-166
• 全文大小：241 KB
• 作者单位：Mathieu Gauthé (1) (2)
  Danielle Mestas (2)
  Federico Canavese (3)
  Antoine Samba (3)
  Florent Cachin (2)
  
  1. Department of Nuclear Medicine, Institut Curie, 35 rue Dailly, 92210, Saint-Cloud, France
  2. Department of Nuclear Medicine, Jean Perrin Comprehensive Cancer Center, 58 rue Montalembert, 63000, Clermont Ferrand, France
  3. Pediatric Surgery Department, CHU Estaing, 1, Place Lucie et Raymond Aubrac, 63003, Clermont Ferrand, France
  
• ISSN：1864-6433

文摘

A 2-year-old girl with recent history of trampoline fall presented to the A&E Department for complete functional impairment of the left lower extremity and fever. Blood examination revealed an inflammatory syndrome, while plain radiographs were normal. As magnetic resonance imaging was unavailable, a bone scintigraphy was performed. While standard acquisition found an intense uptake focused on the left proximal tibial metaphysis whose appearance was suggestive of acute hematogenous osteomyelitis, complementary acquisition with the pinhole collimator demonstrated that this abnormal uptake was clearly distinct from the cartilage growth plate. One month follow-up radiographs showed a fracture that confirmed the diagnosis of trampoline fracture.