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

Academic Article

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.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Garg I; Baladron Zanetti MJ; Kendi AT
  • Start Page

  • 367
  • End Page

  • 368
  • Volume

  • 32
  • Issue

  • 4