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Iliac insufficiency fracture: “Bow sign” on bone scan

机译:lia骨功能不全骨折:骨骼扫描显示“弓形”

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Pelvic insufficiency fractures (IFs) are frequently diagnosed on technetium-99m methylene diphosphonate bone scan (BS), where it remains an important diagnostic imaging modality. Involvement of iliac bone in pelvic IFs is very rare. Differentiation from metastases is crucial where BS shows characteristic appearance obviating the need for further investigations for confirmation. There are many diagnostic appearances reported on BS for the diagnosis of IFs at various sites. We present a patient with cervical carcinoma who was previously treated with external beam radiotherapy to pelvis and now presented with pelvic pain. BS was performed to rule out skeletal metastases, however, the findings were diagnostic for iliac IF.
机译:骨盆关闭不全骨折(IFs)经常在99m的二膦酸二甲酯bone骨扫描(BS)上进行诊断,在这里它仍然是重要的诊断成像手段。骨与骨盆中段的介入非常少见。 BS表现出特征性外观而无需进一步检查以进行确认的情况下,与转移灶的鉴别至关重要。 BS上报道了许多用于在各种部位诊断IF的诊断方法。我们介绍了一名宫颈癌患者,该患者先前接受了骨盆外放射线治疗,现在出现了骨盆疼痛。进行BS可以排除骨骼转移,但是,该发现对IF有诊断价值。

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