Tibial Stress Fracture and “Shin Splint” Syndrome in the Same Patient Diagnosed on (99m)TC-Methylene Diphosphonate Bone Scintigraphy and Single-Photon Emission/Computed Tomography

We present a case of an 18-year-old male athlete who presented with complaints of right lower leg pain for 10 days following intense exercise. The most likely diagnosis was a possible tibial stress fracture or a ''shin splint'' syndrome. The radiograph did not reveal any signific...

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Detalles Bibliográficos
Autores principales: Mishra, Rajesh, Meena, Anjali, Sanjith, L. S., Jha, Shranav, Dhingra, Vandana Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10171752/
https://www.ncbi.nlm.nih.gov/pubmed/37180185
http://dx.doi.org/10.4103/ijnm.ijnm_125_22
Descripción
Sumario:We present a case of an 18-year-old male athlete who presented with complaints of right lower leg pain for 10 days following intense exercise. The most likely diagnosis was a possible tibial stress fracture or a ''shin splint'' syndrome. The radiograph did not reveal any significant abnormality in the form of any fracture or a cortical break. We performed planar bone scintigraphy including single-photon emission computed tomography (CT)/CT that revealed the presence of the two concomitant pathologies in the form of a hot spot which corresponded with a bone lesion in the tibial stress fracture and subtle remodeling activity without evidence of significant cortical lesion in the shin splints in bilateral lower limbs (R>L).

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