title: Compression type stress fracture of femoral neck with equivocal X-ray features diagnosed on (99m)Tc-MDP SPECT/CT in a case of trivial hip pain.
abstract: Stress insufficiency fracture is usually diagnosed clinically and on the basis of routine X-ray imaging findings. However, the absence of any known predisposing factors and negative or occult radiographic findings pose diagnostic challenges. We report the case of an elderly male patient who presented with a chief complaint of trivial left hip pain and with equivocal radiographic findings. Triphasic (99m)Tc-methylene diphosphonate bone scan and single-photon emission computed tomography/computed tomography helped in arriving at the diagnosis of stress insufficiency fracture involving femoral neck.
authors.affiliation: Department of Nuclear Medicine and PET-CT Imaging, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India.
authors.forename: Saurabh
authors.initials: S
authors.lastname: Vitalkar
authors.affiliation: Department of Nuclear Medicine and PET-CT Imaging, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India.
authors.forename: Ashmi S
authors.initials: AS
authors.lastname: Manglunia
authors.affiliation: Department of Nuclear Medicine and PET-CT Imaging, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Kulkarni
authors.affiliation: Department of Nuclear Medicine and PET-CT Imaging, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India.
authors.forename: Ameya D
authors.initials: AD
authors.lastname: Puranik
keywords: 99mTc-methylene diphosphonate; Bone scan; single photon emission computed tomography/computed tomography; stress insufficiency fracture