Pelvic fractures diagnosed by bone scintigraphy in patients with normal radiographs after a fall

An algorithm to standardise the investigation of the undiagnosed traumatic painful adult hip: results at one year

“…Bone scintigraphy has previously been described for the investigation of patients in whom the suspicion of a fracture is present, despite normal radiography (Fig 2 & 3). [3][4][5] This imaging modality may highlight an area of fracture before a radiograph. It has been shown to be a sensitive (93%) and specific (95%) indicator of occult fractures of the proximal femur, provided careful interpretation is made to avoid the diagnostic pitfalls (including false negative scans if performed too early or fractures through avascular bone; false positives with acetabular curtain osteophytes and calcific capsulitis).…”