Dambrain Abel, Bouron Clément, Lacoeuille Franck
Department of Nuclear Medicine, University Hospital Center, Angers, France.
CRCI2NA-Inserm UMR1307/CNRS UMR 6075, University of Angers, Angers, France.
Front Nucl Med. 2025 Mar 12;5:1527159. doi: 10.3389/fnume.2025.1527159. eCollection 2025.
In this case, we report the usefulness of bone scintigraphy in evaluating osteoarticular pain when the diagnosis is unclear after standard morphological imaging. A 24-year-old male patient exhibited mild left tibial pain that had been intensifying over a period of 2 years. The initial radiological evaluation suggested a diagnosis of pediatric tibial bone marrow osteosclerosis associated with periostitis, based on standard radiographs and MRI. However, a complementary bone scan was required for confirmation and showed moderate hyperemia and severe hyperfixation of the tibial lesion along with similar lesions on the left femur, both humeri, and the right ulna. These new findings led to a diagnosis of Ribbing disease, a rare sclerosing bone dysplasia.
在这种情况下，我们报告了骨闪烁显像在评估骨关节炎疼痛方面的有用性，此时标准形态学成像后诊断仍不明确。一名24岁男性患者出现轻度左胫骨疼痛，持续2年且逐渐加重。基于标准X线片和MRI，初步影像学评估提示诊断为小儿胫骨骨髓骨硬化合并骨膜炎。然而，需要进行补充骨扫描以确诊，结果显示胫骨病变有中度充血和重度放射性浓聚，左股骨、双侧肱骨及右尺骨也有类似病变。这些新发现导致诊断为里宾病，一种罕见的硬化性骨发育异常。
