Bone scan in evaluation of bone viability in severe frostbite of the hand

Ishan Garg, Maria J. Baladron Zanetti, Ayse Tuba Kendi

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

A 39-year-old male presented to the emergency department (ED) with frostbite to the fingers of both hands. In the ED, he received warm baths, acetylsalicylic acid, clopidogrel, and heparin. A three-phase bone scintigraphy with technetium-99m-methylene diphosphonate revealed absent radiotracer uptake in distal phalanges of both hands. The patient received acetylsalicylic acid, clopidogrel and wound care for the next 5 days and made an excellent recovery with satisfactory wound healing in both hands. Early rapid rewarming and reperfusion can improve the prognosis significantly and therefore bone scan done within first 1-2 days may give spurious results.

Original languageEnglish (US)
Pages (from-to)367-368
Number of pages2
JournalIndian Journal of Nuclear Medicine
Volume32
Issue number4
DOIs
StatePublished - Oct 1 2017
Externally publishedYes

Keywords

  • Bone scan
  • cold thermal injury
  • frostbite
  • hand

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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