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- ArticleSaunders AJ, El Sayed TF, Hilson AJ, Maisey MN, Grahame R.Clin Radiol. 1979 Nov;30(6):649-51.Technetium 99 methylene diphosphonate scans were performed on 32 patients with suspected stress fractures. Twenty-six patients had abnormal scans, 13 had abnormal X-rays and on these only nine had either fresh periosteal new bone and/or a fracture line. A logical approach of the use of X-ray and radionuclide techniques in patient management is suggested.