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Review ArticleTeaching Case Study

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 February 2014, jnmt.113.130765; 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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Abstract

Although a true fracture is commonly associated with increased radionuclide uptake on bone scintigraphy, it is also possible for an area with no increased uptake (a cold line) to indicate fracture, as demonstrated in this case study. Detection of an occult acute hip fracture through recognition of a cold fracture line is important because of the associated therapeutic, economic, and medicolegal implications.

  • joint/muscle
  • SPECT
  • bone scintigraphy
  • cold line
  • occult fracture
  • subcapital neck fracture

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  • Published online ▪▪▪▪▪▪▪▪▪▪▪▪.

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Journal of Nuclear Medicine Technology: 53 (1)
Journal of Nuclear Medicine Technology
Vol. 53, Issue 1
March 1, 2025
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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 Feb 2014, jnmt.113.130765; 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 Feb 2014, jnmt.113.130765; 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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