대한핵의학회지 (1967년~2009년)
대한핵의학회지 1987;21(1)39~8
피로골절 환자에서 골주사 소견과 방사선 소견의 비교 ( Radioisotopic and Radiological Evaluation in Patient with Stress Fracture )
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Author 고광섭(Kwang Seop Ko),김재영(Jai Young Kim),강성구(Sung Koo Kang),김소연(Sy Yon Kim),이권전(Gwon Jun Lee),
Affiliation
Abstract

The stress fracture is a disease caused by and abnormal stress to the normal bone with constant, repeated pull. Early detection of stress fracture plays an important role in treatment and prevention of its complication. Bone scintigraphy was performed to evaluate 18 patients with stress fracture of the lower extremities from May, 1985 to April, 1987, in the Department of Internal Medicine of National Police Hospital. The results were as follows: 1) Seventeen of the 18 cases showed positive bone scans at the initial study performed from 1 week to 5 months after the onset of symtom. 2) Ten of the18 patients had findings of stress fracture at the initial X-ray film. Two out of 8 negative case revealed positive findings in the follow-up studies. 3) The bone scans in the 2 cases taken 5 months after the onset of symtom; the one showed only slightly increased radiouptake, the other showed no abnormal findings. In conclusion, bone scanning is a more sensitive indicator of early stress fracture than radiologic study, The healing phase is characterized by a gradual decline in radioactivity at the fracture site in concordance with subsidence of symptom.

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