• Injury · Jun 2021

    Monitoring of fracture healing. Update on current and future imaging modalities to predict union.

    • J A Nicholson, L Z Yapp, J F Keating, and SimpsonA H R WAHRWDepartment of Orthopaedic and Trauma Surgery, Edinburgh Royal Infirmary, Little France, Edinburgh EH16 4SU, United Kingdom..
    • Department of Orthopaedic and Trauma Surgery, Edinburgh Royal Infirmary, Little France, Edinburgh EH16 4SU, United Kingdom. Electronic address: jamie.nicholson@ed.ac.uk.
    • Injury. 2021 Jun 1; 52 Suppl 2: S29-S34.

    AbstractFracture nonunion causes considerable patient morbidity and an associated burden to society. Traditional reliance on radiographs to monitor union has limitations as bridging callus of long bone fractures can take three or more months to occur. Computed Tomographic (CT) scanning is becoming increasingly popular and can evaluate bridging callus in the late stages of healing to confirm union. The use of dynamic contrast enhanced Magnetic Resonance Imaging (MRI) and advances in nuclear imaging may yield benefits in the assessment of the infected nonunion. Emerging evidence supports the use of ultrasound to detect bridging callus prior to radiographic confirmation and it may be of use to predict patients at high risk of nonunion. This paper is part of a Supplement supported by The Osteosynthesis and Trauma Care Foundation (OTCF).Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.

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