Indian Journal of Nuclear Medicine
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CASE REPORT
Year : 2016  |  Volume : 31  |  Issue : 3  |  Page : 225-228

Compression type stress fracture of femoral neck with equivocal X-ray features diagnosed on 99mTc-MDP SPECT/CT in a case of trivial hip pain


Department of Nuclear Medicine and PET-CT Imaging, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India

Correspondence Address:
Ameya D Puranik
Department of Nuclear Medicine and PET-CT Imaging, Bombay Hospital and Medical Research Centre, 12, New Marine Lines, Mumbai - 400 020, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.183614

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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 99mTc-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.


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