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Occult Fracture
Umesh D. Oza, MD; Charlotte Myers, MD
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KEY FACTS

  • Terminology

    • Imaging

      TERMINOLOGY

      • Definitions

        • Occult fracture (fx): Fracture with no radiographic findings
        • Pathologic fracture: Used to describe fx through bone focally weakened by tumor or infection

      IMAGING

      • General Features

        • Radiographic Findings

          • CT Findings

            • Nuclear Medicine Findings

              • Imaging Recommendations

                • Artifacts and Quality Control

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • Staging, Grading, & Classification

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Scheyerer MJ et al: Evaluation of pelvic ring injuries using SPECT/CT. Skeletal Radiol. ePub, 2014
                                  2. Allainmat L et al: Use of hybrid SPECT/CT for diagnosis of radiographic occult fractures of the wrist. Clin Nucl Med. 38(6):e246-51, 2013
                                  3. Querellou S et al: Role of SPECT/CT compared with MRI in the diagnosis and management of patients with wrist trauma occult fractures. Clin Nucl Med. Epub ahead of print, 2013
                                  4. Cannon J et al: Imaging choices in occult hip fracture. J Emerg Med. 37(2):144-52, 2009
                                  5. Bryant LR et al: Comparison of planar scintigraphy alone and with SPECT for the initial evaluation of femoral neck stress fracture. AJR Am J Roentgenol. 191(4):1010-5, 2008
                                  6. Wu PS et al: Clinical significance of solitary rib hot spots on bone scans in patients with extraskeletal cancer: correlation with other clinical manifestations. Clin Nucl Med. 27(8):567-71, 2002
                                  7. Donohoe KJ et al: Procedure guideline for bone scintigraphy: 1.0. Society of Nuclear Medicine. J Nucl Med. 37(11):1903-6, 1996
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      TERMINOLOGY

                                      • Definitions

                                        • Occult fracture (fx): Fracture with no radiographic findings
                                        • Pathologic fracture: Used to describe fx through bone focally weakened by tumor or infection

                                      IMAGING

                                      • General Features

                                        • Radiographic Findings

                                          • CT Findings

                                            • Nuclear Medicine Findings

                                              • Imaging Recommendations

                                                • Artifacts and Quality Control

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • Staging, Grading, & Classification

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Scheyerer MJ et al: Evaluation of pelvic ring injuries using SPECT/CT. Skeletal Radiol. ePub, 2014
                                                                  2. Allainmat L et al: Use of hybrid SPECT/CT for diagnosis of radiographic occult fractures of the wrist. Clin Nucl Med. 38(6):e246-51, 2013
                                                                  3. Querellou S et al: Role of SPECT/CT compared with MRI in the diagnosis and management of patients with wrist trauma occult fractures. Clin Nucl Med. Epub ahead of print, 2013
                                                                  4. Cannon J et al: Imaging choices in occult hip fracture. J Emerg Med. 37(2):144-52, 2009
                                                                  5. Bryant LR et al: Comparison of planar scintigraphy alone and with SPECT for the initial evaluation of femoral neck stress fracture. AJR Am J Roentgenol. 191(4):1010-5, 2008
                                                                  6. Wu PS et al: Clinical significance of solitary rib hot spots on bone scans in patients with extraskeletal cancer: correlation with other clinical manifestations. Clin Nucl Med. 27(8):567-71, 2002
                                                                  7. Donohoe KJ et al: Procedure guideline for bone scintigraphy: 1.0. Society of Nuclear Medicine. J Nucl Med. 37(11):1903-6, 1996