Low Positive Predictive Value of Bone Scan to Predict Impending Complete Fracture among Incomplete Atypical Femoral Fracture
DC Field | Value | Language |
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dc.contributor.author | Lee, Young-Kyun | - |
dc.contributor.author | Lee, You Jin | - |
dc.contributor.author | Lee, Na Kyoung | - |
dc.contributor.author | Nho, Jae-Hwi | - |
dc.contributor.author | Koo, Kyung-Hoi | - |
dc.date.accessioned | 2021-08-11T12:23:53Z | - |
dc.date.available | 2021-08-11T12:23:53Z | - |
dc.date.issued | 2018-05-28 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.issn | 1598-6357 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/5964 | - |
dc.description.abstract | Background: Although bone scan might be useful to detect incomplete atypical femoral fractures (AFFs) earlier than radiographs, there is no study on predicting further progression to a complete fracture among incomplete AFFs. Our purposes are to determine whether bone scan detects impending complete fracture among incomplete AFFs. Methods: We reviewed 18 patients (20 AFFs) who underwent bone scan at the diagnosis of incomplete AFF and were not treated with prophylactic fixation. A diagnosis of imp ending complete fracture was made, when the femur completely fractured within 6 months after the scan. We correlated radioisotope uptake with the impending complete fracture to calculate sensitivity, specificity, positive predictive value and negative predictive value ofbone scan. Results: Thirteen AFFs (65%, 13/20) showed a positive uptake in bone scan. Among the 13, only one femur was completely fractured within 6 months. None of the 7 femurs without uptake in bone scan fractured. In diagnosing impending complete fracture, the sensitivity ofbone scan was 100% and negative predictive value was 100%. However, the specificity (36.8%) and positive predictive value (7.7%) were quite low. Conclusion: Bone scan has no significant role in detecting the impending complete fracture, and a positive uptake does not mean the necessity of prophylactic fixation of incomplete AFF. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | 대한의학회 | - |
dc.title | Low Positive Predictive Value of Bone Scan to Predict Impending Complete Fracture among Incomplete Atypical Femoral Fracture | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.doi | 10.3346/jkms.2018.33.e157 | - |
dc.identifier.scopusid | 2-s2.0-85047510568 | - |
dc.identifier.wosid | 000433234500003 | - |
dc.identifier.bibliographicCitation | Journal of Korean Medical Science, v.33, no.22 | - |
dc.citation.title | Journal of Korean Medical Science | - |
dc.citation.volume | 33 | - |
dc.citation.number | 22 | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002347780 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | FEMUR FRACTURES | - |
dc.subject.keywordPlus | INSUFFICIENCY FRACTURES | - |
dc.subject.keywordPlus | BISPHOSPHONATE | - |
dc.subject.keywordAuthor | Atypical Femoral Fracture | - |
dc.subject.keywordAuthor | Bone Scan, Prophylactic Fixation | - |
dc.subject.keywordAuthor | Impending Fracture | - |
dc.subject.keywordAuthor | Femur | - |
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