For complicated cases the bone scan is the gold standard for diagnosis. Management should be initiated in patients who have history of stress related below-knee pain and positive tuning fork test without waiting for bone scintigraphy. 1 2 3 Affiliates About Testimonials FAQs Who Uses Tuning Forks Environmental Terms Biosonic Online Courses, Events. Clear Quartz Gem Foot Attachment 15 mm Plus Otto Tuner 128 (Weighted) 129.00. Tuning Fork Upgrades Solar Harmonic-Fibonacci Upgrade (Set of 4). You may, if you prefer, place the fork behind the ear first and bring it quickly to the side of the ear second. Tuning Fork Upgrades Solfeggio (Set of 6) 165.00. Tuning fork test is a simple and easy approach of diagnosing stress fractures which can be performed even by athletics and military trainers. The test is done by putting a ringing, 512Hz, heavy based tuning fork 2.5 cm from the patient’s external ear canal with the tines parallel to the ear canal and then moving the fork behind the ear and pressing against the skull. Positive and negative predictive values were 88% and 46% respectively. Sensitivity of TFT was found to be 79% and specificity of 63%. Each case was scanned using triple phase bone scintigraphy.įifty-five patients had a total of 67 stress fractures, out of which 53 were picked up by TFT. After history and clinical examination tuning fork test (TFT) was performed on each case by placing 128 Hertz vibrating tuning fork on the site of pain (underlying bony surface) of tibia or fibula. X-rays of all the subjects were unremarkable. ![]() The current study examined 55 subjects whose age ranged 18-28 years. The purpose of the study was to evaluate the efficacy of tuning fork in stress fractures by comparing it with three phase bone scan. ![]() Stress fractures are quite common both in athletes and military recruits.
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