title: "Shin splint" syndrome and tibial stress fracture in the same patient diagnosed by means of (99m)Tc-HMDP SPECT/CT.
abstract: We show a patient who presented leg pain triggered by intense exercise. The most likely diagnosis was a possible tibial stress fracture or a "shin splint" syndrome (soleus enthesopathy). We performed a bone scintigraphy including SPECT/CT that revealed the presence of the two concomitant pathologies. SPECT/CT identified the hot spot superimposed with bone lesion in the tibial stress fracture and only remodeling activity without evidence of cortical lesions in the enthesopathy processes.
authors: Nuclear Medicine Department, Infanta Cristina Hospital, Badajoz, Spain.
authors: Justo Serrano
authors: JS
authors: Vicente
authors: Maria Luz Domínguez
authors: ML
authors: Grande
authors: Jose Rafael Infante
authors: JR
authors: Torre
authors: Juan Ignacio Rayo
authors: JI
authors: Madrid
authors: Carmen Durán
authors: CD
authors: Barquero
authors: Lucía García
authors: LG
authors: Bernardo
authors: Román Sánchez
authors: RS
authors: Sánchez
mesh_terms: D015775:Fractures, Stress / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D058923:Medial Tibial Stress Syndrome / Q000000981:diagnostic imaging*; D013669:Technetium Tc 99m Medronate; D013977:Tibia / Q000000981:diagnostic imaging / Q000473:pathology; D013978:Tibial Fractures / Q000000981:diagnostic imaging*; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D013669:Technetium Tc 99m Medronate