Orthopedics Hip, Knee, and Shoulder Injuries Forum - Bone Scan Report - What Does It Mean?
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Bone Scan Report - What Does It Mean?

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Medical Questions-> Health Forums -> Orthopedics Hip, Knee, and Shoulder Injuries -> Bone Scan Report - What Does It Mean?
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spikegus

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Joined: 24 Dec 2004
Posts: 3
Bone Scan Report - What Does It Mean?
Posted: 12-24-04 16:26pm

Had a hip replaced 18 mos ago and started having pain in my thigh in august, Dr. Did plain x-rays and said things looked fine. Put me on lodine 400mg, I took it for 8 weeks with no improvement, the pain is worse now. Dr. Ordered bone scan which I have the report and a cd with the images, but I really don't understand what it means and my appt. With the Dr. Is not until after the 1st of the year. I was wondering if someone could tell me what the report is saying.Should I be aggresive on following up on this or is it nothing to worry about? (report follows) 1) there is focal mild to moderate increased uptake with a patchy distribution seen in the region of the mid femur. This does not clearly appear to be continuous with the inferior tip of the prothesis and correlation with the length of the prosthesis on plain films is necessary. The femur distal to the neck on 3/18/03 (prior bone scan) was normal. (impression)- focal patchy moderate increased uptake in mid femur. Uncertain if this is contiguous with the inferior tip of the prosthesis, although I believe this is distal to the prothesis. Given that this area was normal on prior bone scan, differential considerations include stress fracture, other posttraumatic cause, or neoplastic cause. Osteomyelitis in the mid femoral region is possible although unlikely since this does not extend along the adjacent femoral prosthetic component. 2) otherwise normal appearance of hip prothesis. 3) mild degenerative changes of left hip, as noted on prior bone scan.
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K_L_Carten

New User, Becoming EHEALTHy
Joined: 30 Apr 2004
Posts: 18
Location: Tn
Bone Scan
Posted: 03-22-05 13:29pm

I had a bone scan done last may. I am 100 percent sure its just a plain bone scan, what they look for is bone growth. If there is bone growth, your doctor will look for "hot spots" and he will show you on the bone scan where they are, I cant remember if they show up dark or bright sorry. Its been a while.

Yikes, I misread what you were trying to find out, sound like you have a stress fracture in your leg. Not sure how or what the doctor will do with that since you have had a hip replacement? Do you know if he used cement or cementless replacement?



Good luck

kim
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