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The Contribution of SPECT/CT in the Diagnosis of Stress Fracture of the Proximal Tibia

10.4274/mirt.27247

• Berna Okudan
• Nazım Coşkun
• Pelin Arıcan

Received Date: 25.06.2016 Accepted Date: 15.10.2017 Mol Imaging Radionucl Ther 2018;27(1):29-31 PMID: 29393051

• Abstract
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Stress fractures are injuries most commonly seen in the lower limbs and are usually caused by repetitive stress. While the distal and middle third of the tibia is the most frequent site for stress fractures (almost 50%), stress fractures of the proximal tibia is relatively rare and could be confused with other types of tibial fractures, thus altering management plans for the clinician. Early diagnosis of stress fractures is also important to avoid complications. Imaging plays an important role in the diagnosis of stress fractures, especially bone scan. Combined with single-photon emission computed tomography/computed tomography (SPECT/CT) it is an important imaging technique for stress fractures in both upper and lower extremities, and is widely preferred over other imaging techniques. In this case, we present the case of a 39-year-old male patient diagnosed with stress fracture of the proximal tibia and demonstrate the contribution of CT scan fused with SPECT imaging in the early diagnosis of stress fracture prior to other imaging modalities.

Keywords: Stress fracture,proximal tibia,bone scintigraphy,single-photon emission computed tomography/computed tomography

Ethics

Informed Consent: Consent form was filled out by all participants.

Peer-review: Externally peer-reviewed.

Authorship Contributions

Surgical and Medical Practices: B.O., N.C., Concept: B.O., N.C., Design: B.O., N.C., Data Collection or Processing: B.O., N.C., Analysis or Interpretation: B.O., N.C., Literature Search: P.A., Writing: N.C.

Conflict of Interest: No conflict of interest was declared by the authors.

Financial Disclosure: The authors declared that this study received no financial support.

Images

Blood pool phase of 3-phase bone scintigraphy (3-PBS) showin...

Delayed phase 3-PBS showing increased activity in the left k...

Computed tomography (CT) image from single-photon emission C...

Magnetic resonance image confirming the stress fracture line...

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2.    Huellner MW, Strobel K. Clinical applications of SPECT/CT in imaging the extremities. Eur J Nucl Med Mol Imaging 2014;41(Suppl 1):S50-58.