Usmani Sharjeel, Marafi Fahad, Al Kandari Fareeda, Ahmed Najeeb
Department of Nuclear Medicine, Kuwait Cancer Control Center, Khaitan, Kuwait.
Department of Nuclear Medicine, Jaber Al-Ahmad Molecular Imaging Center, Kuwait City, Kuwait.
Indian J Nucl Med. 2019 Jul-Sep;34(3):256-257. doi: 10.4103/ijnm.IJNM_77_19.
Adductor insertion avulsion syndrome, also known as "thigh splints," is a painful condition affecting the proximal to mid-femur at the insertion of the adductor muscles of the thigh. F-Sodium fluoride (F-NaF) is increasingly used in diagnosing skeletal pain which is not identified on radiographs. We report a case of a 56-year-old morbidly obese woman with left hip pain referred for F-NaF positron emission tomography-computed tomography (PET-CT) as magnetic resonance imaging cannot be performed due to obesity. F-NaF PET-CT shows an increase in tracer uptake at the posteromedial cortex of the upper shaft of left femur. Findings are likely due to adductor insertion avulsion syndrome. F-NaF provides important diagnostic information that might alter treatment options.
内收肌附着点撕脱综合征，也称为“大腿夹板”，是一种影响大腿内收肌附着处股骨近端至中段的疼痛病症。氟氟化钠（F-NaF）越来越多地用于诊断X线片上未发现的骨骼疼痛。我们报告一例56岁病态肥胖女性，因左髋疼痛转诊接受F-NaF正电子发射断层扫描-计算机断层扫描（PET-CT）检查，由于肥胖无法进行磁共振成像。F-NaF PET-CT显示左股骨上段后内侧皮质放射性示踪剂摄取增加。这些发现可能是由于内收肌附着点撕脱综合征所致。F-NaF提供了可能改变治疗方案的重要诊断信息。
