Efficiency of the bone scan for occult limping toddlers

James Aronson; Kevin Garvin; Joanna Seibert; Charles Glasier; Elizabeth A. Tursky

doi:10.1097/01241398-199201000-00007

Efficiency of the bone scan for occult limping toddlers

James Aronson, Kevin Garvin, Joanna Seibert, Charles Glasier, Elizabeth A. Tursky

Research output: Contribution to journal › Article › peer-review

41 Scopus citations

Abstract

Fifty consecutive occult limping toddlers were prospectively evaluated by acute triphase^99mTc MDP scintigraphy (TTS) at Arkansas Children's Hospital from 1984 through 1989. Only patients with a limp that could not be diagnosed by an orthopaedist were included. TTS proved essential in localizing the lesion in 27 patients (54%). With only two false negatives and one false positive, this test was shown to be highly sensitive, specific. efficient, and predictive, especially as compared with temperature, white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and plain radiography. Because no infections were missed by TTS, patients with a normal TTS could be safely observed as outpatients, saving thousands of health care dollars in this small series.

Original language	English (US)
Pages (from-to)	38-44
Number of pages	7
Journal	Journal of Pediatric Orthopaedics
Volume	12
Issue number	1
DOIs	https://doi.org/10.1097/01241398-199201000-00007
State	Published - 1992
Externally published	Yes

Keywords

Bone scan
Limp
Toddler

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Orthopedics and Sports Medicine

Access to Document

10.1097/01241398-199201000-00007

Cite this

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abstract = "Fifty consecutive occult limping toddlers were prospectively evaluated by acute triphase99mTc MDP scintigraphy (TTS) at Arkansas Children's Hospital from 1984 through 1989. Only patients with a limp that could not be diagnosed by an orthopaedist were included. TTS proved essential in localizing the lesion in 27 patients (54%). With only two false negatives and one false positive, this test was shown to be highly sensitive, specific. efficient, and predictive, especially as compared with temperature, white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and plain radiography. Because no infections were missed by TTS, patients with a normal TTS could be safely observed as outpatients, saving thousands of health care dollars in this small series.",

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AU - Aronson, James

AU - Garvin, Kevin

AU - Seibert, Joanna

AU - Glasier, Charles

AU - Tursky, Elizabeth A.

PY - 1992

Y1 - 1992

N2 - Fifty consecutive occult limping toddlers were prospectively evaluated by acute triphase99mTc MDP scintigraphy (TTS) at Arkansas Children's Hospital from 1984 through 1989. Only patients with a limp that could not be diagnosed by an orthopaedist were included. TTS proved essential in localizing the lesion in 27 patients (54%). With only two false negatives and one false positive, this test was shown to be highly sensitive, specific. efficient, and predictive, especially as compared with temperature, white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and plain radiography. Because no infections were missed by TTS, patients with a normal TTS could be safely observed as outpatients, saving thousands of health care dollars in this small series.

AB - Fifty consecutive occult limping toddlers were prospectively evaluated by acute triphase99mTc MDP scintigraphy (TTS) at Arkansas Children's Hospital from 1984 through 1989. Only patients with a limp that could not be diagnosed by an orthopaedist were included. TTS proved essential in localizing the lesion in 27 patients (54%). With only two false negatives and one false positive, this test was shown to be highly sensitive, specific. efficient, and predictive, especially as compared with temperature, white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and plain radiography. Because no infections were missed by TTS, patients with a normal TTS could be safely observed as outpatients, saving thousands of health care dollars in this small series.

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KW - Toddler

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Efficiency of the bone scan for occult limping toddlers

Abstract

Keywords

ASJC Scopus subject areas

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