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Doctor insights on: Do Old Fractures Show Up On Bone Scans

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Cousin 13yrs old fractured neck femur surgery done with two screws no blood supply on bone scan will he ever walk again? What solutions does he have?

Cousin 13yrs old fractured neck femur surgery done with two screws no blood supply on bone scan will he ever walk again? What solutions does he have?

Yes: Yes, he can absolutely walk again. The question is at this point whether or not he has developed avascular necrosis, and based upon that what should be done. If he does have avn, treatment is based upon the stage it is currently at. Make sure you are seeing a specialist in that area. ...Read more

Dr. Gregory Moneta
792 Doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


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What should be our concerns if NOTHING shows on a bone scan including old fractures.

What should be our concerns if NOTHING shows on a bone scan including old fractures.

Old fractures: May not show up as an abnormality on a bone scan. So if your bone scan is negative, no worries. ...Read more

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How long would it take for small fracture to show up on a bone scan?

How long would it take for small fracture to show up on a bone scan?

24 -48 hrs: Usually most fractures are evident at 24 to 48 hours following acute fracture. Fractures in small bones of hands and feet as well as ribs can be detected. Detection some times depends on mineralization of patient. Neurologically insufficient and osteoporotic patients delay the time scale. Definition of small fracture enters into the equation. Bone scan will not show soft tissue injuries. ...Read more

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29 year-old woman who has been suffering malocclusion and tinnitus since a facial fracture 5 years ago, is now looking for her first surgical.....?

29 year-old woman who has been suffering malocclusion and tinnitus since a facial fracture 5 years ago, is now looking for her first surgical.....?

Team treatment: Patient suffered dental and skeletal displacement and fractures. These anatomic malrelationship said have to be restored to normal for resolution of am atomic malrelationship said. Team should be assembled chaired by both an Orthodontist and an Oral surgeon who communicate well with each other and who have a track record of treating Orthognathic cases. Team should also include ENT, neurologist, general physician, perhaps a periodontist, and a restorative dentist. But most important, align upper teeth to upper jaw, lower teeth to lower jaw, then properly align jaws to rest of Craniofacial-facial structures and to each other. ...Read more

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I have a 3 month old with 4 different bone fractures. What can cause these fractures?

I have a 3 month old with 4 different bone fractures. What can cause these fractures?

Nature vs trauma: There are disorders of bone formation that lead to brittle bones that break easily, these are rare but do exist. Clavicle fractures on one side are common in the newly born, but rare later. Any kid with 4 fx at that age needs a workup for metabolic issues or inflicted trauma. ...Read more

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How serious is a broken bone on a 82year old?

How serious is a broken bone on a 82year old?

In this age every: Everything is serious, also it depend on the kind bone broken. In this age everything could tip the scale to the worse. Thank you. ...Read more

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I am a 23year old female and met with an accident recently due to which I fractured my left collar bone. What precautions do I need to take?

I am a 23year old female and met with an accident recently due to which I fractured my left collar bone. What precautions do I need to take?

Probably none.: A fractured collar bone will heal on its own. Probably best to have a doctor evaluate it. But, it normally doesn't cause any problems. No special precautions to recommend. ...Read more

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Does a bone density xray also show fractures?

Does a bone density xray also show fractures?

DEXA: I do not believe so. A conventional x-ray will show fractures. Dexa scan is meant only for osteoporosis screening and follow-up. ...Read more

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Which factors affect the risk of bone fracture in older women?

Many factors: The important factors are osteoporosis, lack of activity and other health problems she may have. ...Read more

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Is it odd that a nuclear bone scan would not detect 2 rib fractures?

Is it odd that a nuclear bone scan would not detect 2 rib fractures?

No: Bone scan is a very sensitive way to detect recent bone fractures. However many factors will affect this ability to detect them such as the time interval between the fracture and the scan, the age of the patient, and the location of the fractures. In a young patient, bone metabolism can return to a normal status very quickly. Spect study (tomography) is also very helpful to detect some lesions. ...Read more

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My 23 year old brother just fractured his arm and damaged his radial nerve following a fall from about 7ft. Should I be worried about a bone tumour?

My 23 year old brother just fractured his arm and damaged his radial nerve following a fall from about 7ft. Should I be worried about a bone tumour?

Probably not: Falling 7 feet will definitely provide enough force to cause those injuries. If he had a bone tumor predisposing him to the fracture, the doctor would have seen it on x-ray. I hope he has a quick recovery. ...Read more

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Where does an older person go from hospital if broken bone?

Where does an older person go from hospital if broken bone?

Rehab: There are different places you can go to recooperate after a broken bone., if you are not ready to go home, you can go to rehab, a nursing home, an assisted living home, or a skilled nursing facility. If you need continued physical therapy, that may determine where you go as well. ...Read more

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I went to care now for xray, unrelated they said my tailbone was broken but it was old injury. Can you tell from xray if broken bone is old injury??

Yes,: You can usually tell an old healed fracture from an acute fracture on xray. The sacrum/coccyx is sometimes problematic because it is often not well visualized on xray due to overlapping structures, and there is a wide range of normal angulation which can sometimes be mistaken for a fracture. ...Read more

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Hello- I fell 1/1/15, after Xrays, bone scans and MRI's I was finally told I had indeed fractured my coccyx. Here are the findings from my MRI from 10/16/15 (10.5 months after my fall) I'm looking for options* Ganglion impar block cause more pain* Findin

Hello- I fell 1/1/15, after Xrays, bone scans and MRI's I was finally told I had indeed fractured my coccyx. Here are the findings from my MRI from 10/16/15 (10.5 months after my fall) I'm looking for options* Ganglion impar block cause more pain* Findin

Fracture healed?: By now a fracture has healed. You need evaluation, and consideration of an injection in the tender area. This woudl be a simple injection depending on the findings. See your physician. Uncertin what ganglin impar block cause more pain* findin means ...Read more

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Can a bone scan miss a fracture?

Can a bone scan miss a fracture?

Sometimes: Most fractures can be identified on bone scan 24-48 hrs after incident. If patient is very demineralized the fracture may not be identified unless images are performed beyond 3 hours after injection. In a child if fractue is adjacent to very active growth plate, the fracture may not be appreciated. Fractures in the skull are not usually seen. If fracture is 5 ot 6 months old fracture may be healed. ...Read more

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What is osteoblasts and is it safe for a fractured shin bone on a 6 year old?

What is osteoblasts and is it safe for a fractured shin bone on a 6 year old?

Depends: I am not sure I understand the full extent of your question, but osteoblasts are the normal cells in the body that make bone. When you break a bone, it is the osteoblasts that make new bone to repair the fracture. Thank you. ...Read more

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How to treat a fall on knee, when xray shows no broken bones?

How to treat a fall on knee, when xray shows no broken bones?

Ice: Elevation, bracing. I would imagine the treating doctor had recommendations did they not? ...Read more

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50year old male had L1comprassion bone fracture. Whith history of osteoprosis what. Is the best recomended treatment and the cost in Amirca?

Many considerations: Treatment for an L1 compression fracture depends on the severity of compression and if there is any neurologic compromise or bone fragments extruded into the spinal canal. A minor wedge compression fracture is always treated nonoperatively. Treatment of the underlying osteoporosis is an important medical condition, and can be addressed by the primary care physician or orthopedic specialists. ...Read more

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How long does a fracture stay intensely bright on a bone scan? It's been 7 months with sternal fx in 2 areas + still bright. Dr will rescan in 6 month

How long does a fracture stay intensely bright on a bone scan? It's been 7 months with sternal fx in 2 areas + still bright. Dr will rescan in 6 month

The bone scan: Is absolutely THE MOST SENSITIVE test for Fracture diagnosis and HEALING and stays "bright" for a long time beyond standard xrays and even CT scanning!!

THAT I why it is NOT generally used to diagnose or follow bone trauma!
Hope this is helpful
Dr Z ...Read more

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I had an Mri done of my Thoracic and my Lunbar region after I was in a rear end collision, it shows that I have 5 Endplate fractures with out bone mar?

Unusual: You did not finish your question. Presumably you were going to say you had 5 end plate fractures without bone marrow edema. If that is the case, that indicates they are old. It is just it is hard to imagine a 30 year old would have that. It may be a nontraumatic finding such as we see in scheuermanns disease. Hard to say more without looking at films. Be sure to review with your orthopedic. ...Read more

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Fractures of c1 and c2, bones show vertical cracks. After over 15 weeks there is no evidence of healing and no known situation or condition to cause?

Fractures of c1 and c2, bones show vertical cracks. After over 15 weeks there is no evidence of healing and no known situation or condition to cause?

Interesting...: Did you have any trauma to cause the fracture? Healing depends on your age, other medical problems, and degree of displacement with the fractures and whether or not you were immobilized (e.g. Collar etc.) and bone quality. Many fractures usually heal within 3 months if only minimally displaced and immobilized. Key things to know is whether you are symptomatic (pain, neuro deficit) or unstable. ...Read more

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Is it possible to have an MRI scan with metal plate and screws on a broken bone?

Is it possible to have an MRI scan with metal plate and screws on a broken bone?

Yes: This is not a contraindication to mri. If the treated bone is itself being examined there may be metal artifact that limits what can be seen. However, the procedure is safe. ...Read more

Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


Dr. Thomas Heston
227 Doctors shared insights