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  • Title: Scintigraphic evaluation of extremity pain in children: its efficacy and pitfalls.
    Author: Park HM, Rothschild PA, Kernek CB.
    Journal: AJR Am J Roentgenol; 1985 Nov; 145(5):1079-84. PubMed ID: 3876740.
    Abstract:
    Early detection of an inflammatory process involving bone and joints is very important in children with extremity pain. We reviewed the efficacy and pitfalls of three-phase bone scans in 100 consecutive children with acute extremity pain. Sixty-one of the subjects showed abnormalities on bone scans. The sensitivity and specificity of three-phase bone scans for acute osteomyelitis were 84% and 97%, respectively. Sensitivity and specificity for both acute septic joint and cellulitis were 93% and 100%, respectively. Pitfalls in interpretation of three-phase bone scans include simulation of infection by fracture and obscuration of osteomyelitis by septic arthritis, prior antibiotic treatment, and the occasional "cold" defect due to ischemia.
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