title: The three-phase bone scan and exercise induced lower-leg pain. The tibial stress test.
abstract: The three-phase bone scan is finding increasing utility in acute and chronic pain syndromes in sports medicine settings. This useful technique may have significant clinical application in assessing the increasing numbers of patients with exercise induced lower leg or medial tibial pain. The authors present a case of exertional lower leg pain or medial tibial pain in which three-phase bone imaging exhibited a dramatic increase in early flow after a simple derived exercise stress. The three-phase bone scan should play a key role in the assessment of exercise pain, and may be enhanced by the addition of simple exercise intervention.
authors.affiliation: Department of Pathology and Nuclear Medicine, McDonough District Hospital, Macomb, Illinois 61455, USA.
authors.forename: D R
authors.initials: DR
authors.lastname: Samuelson
authors.forename: R L
authors.initials: RL
authors.lastname: Cram
mesh_terms: D000328:Adult; D000868:Anterior Compartment Syndrome / Q000000981:diagnostic imaging; D001842:Bone and Bones / Q000000981:diagnostic imaging; D012090:Cumulative Trauma Disorders / Q000000981:diagnostic imaging; D015444:Exercise; D005080:Exercise Test; D006801:Humans; D008297:Male; D010146:Pain / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012039:Regional Blood Flow; D013669:Technetium Tc 99m Medronate; D013977:Tibia / Q000098:blood supply / Q000000981:diagnostic imaging*
chemical_list: D013669:Technetium Tc 99m Medronate