同一患者的“胫骨夹板”综合征和胫骨应力性骨折通过 (99m)Tc-HMDP SPECT/CT 诊断。

"Shin splint" syndrome and tibial stress fracture in the same patient diagnosed by means of (99m)Tc-HMDP SPECT/CT.

机构信息

Nuclear Medicine Department, Infanta Cristina Hospital, Badajoz, Spain.

出版信息

Clin Nucl Med. 2013 Apr;38(4):e178-81. doi: 10.1097/RLU.0b013e318263953b.

Abstract

We show a patient who presented leg pain triggered by intense exercise. The most likely diagnosis was a possible tibial stress fracture or a "shin splint" syndrome (soleus enthesopathy). We performed a bone scintigraphy including SPECT/CT that revealed the presence of the two concomitant pathologies. SPECT/CT identified the hot spot superimposed with bone lesion in the tibial stress fracture and only remodeling activity without evidence of cortical lesions in the enthesopathy processes.

摘要

我们展示了一位因剧烈运动引发腿部疼痛的患者。最可能的诊断是胫骨应力性骨折或“胫骨夹板”综合征（比目鱼肌附着病）。我们进行了骨闪烁显像术，包括 SPECT/CT，结果显示存在这两种同时存在的病变。SPECT/CT 识别出热点与胫骨应力性骨折中的骨病变叠加，而在附着病过程中仅存在重塑活动，没有皮质病变的证据。