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Review ArticleTeaching Case Studies

A Clearly Observable Cold Fracture Line of an Early Occult Hip Fracture on Bone Scintigraphy

Zhiyun Yang, Tameron Reed and Alberto A. Simoncini
Journal of Nuclear Medicine Technology June 2014, 42 (2) 116-117; DOI: https://doi.org/10.2967/jnmt.113.130765
Zhiyun Yang
Department of Radiology, Louisiana State University Health Sciences Center, Shreveport, Louisiana
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Tameron Reed
Department of Radiology, Louisiana State University Health Sciences Center, Shreveport, Louisiana
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Alberto A. Simoncini
Department of Radiology, Louisiana State University Health Sciences Center, Shreveport, Louisiana
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Figures

  • FIGURE 1.
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    FIGURE 1.

    Same whole-body bone images displayed with white background on left and black background on right to define lesion better. These images reveal clearly defined cold fracture line (arrows) crossing left femoral neck.

  • FIGURE 2.
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    FIGURE 2.

    Anterior (left) and posterior (right) views of pelvis reveal clearly defined cold line crossing left femoral neck.

  • FIGURE 3.
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    FIGURE 3.

    T2-weighted fat-saturated MR axial view of left hip demonstrates left subcapital femoral neck fracture with associated bone marrow edema (arrows).

  • FIGURE 4.
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    FIGURE 4.

    Same whole-body bone images displayed with more intensity on left than right to define different lesions better. These images taken in 2009 demonstrated no scintigraphic evidence of osseous metastasis or fracture in T12 and no cold fracture line seen in left hip. Arrows indicate injection site.

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Journal of Nuclear Medicine Technology: 42 (2)
Journal of Nuclear Medicine Technology
Vol. 42, Issue 2
June 1, 2014
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A Clearly Observable Cold Fracture Line of an Early Occult Hip Fracture on Bone Scintigraphy
Zhiyun Yang, Tameron Reed, Alberto A. Simoncini
Journal of Nuclear Medicine Technology Jun 2014, 42 (2) 116-117; DOI: 10.2967/jnmt.113.130765

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A Clearly Observable Cold Fracture Line of an Early Occult Hip Fracture on Bone Scintigraphy
Zhiyun Yang, Tameron Reed, Alberto A. Simoncini
Journal of Nuclear Medicine Technology Jun 2014, 42 (2) 116-117; DOI: 10.2967/jnmt.113.130765
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Keywords

  • Joint/Muscle
  • SPECT
  • bone scintigraphy
  • cold line
  • occult fracture
  • subcapital neck fracture
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