Indian Journal of Nuclear Medicine
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Year : 2023  |  Volume : 38  |  Issue : 1  |  Page : 76-78

Tibial stress fracture and “Shin Splint” syndrome in the same patient diagnosed on 99mTC-Methylene diphosphonate bone scintigraphy and single-photon emission/computed tomography

Department of Nuclear Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Correspondence Address:
Dr. Vandana Kumar Dhingra
Department of Nuclear Medicine, All India Institute of Medical Sciences Rishikesh, Virbhadra Road, Rishikesh - 249 203, Uttarakhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijnm.ijnm_125_22

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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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