Indian Journal of Nuclear Medicine
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Year : 2019  |  Volume : 34  |  Issue : 3  |  Page : 256-257

Adductor insertion avulsion syndrome with stress fracture in morbidly obese patient diagnosed on 18F-sodium fluoride positron emission tomography-Computed tomography


1 Department of Nuclear Medicine, Kuwait Cancer Control Center, Khaitan; Department of Nuclear Medicine, Jaber Al-Ahmad Molecular Imaging Center, Kuwait City, Kuwait
2 Department of Nuclear Medicine, Jaber Al-Ahmad Molecular Imaging Center, Kuwait City, Kuwait
3 Department of Nuclear Medicine, Kuwait Cancer Control Center, Khaitan, Kuwait

Correspondence Address:
Dr. Sharjeel Usmani
Department of Nuclear Medicine, Kuwait Cancer Control Center, PO Box: 1488, 83001 Khaitan
Kuwait
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_77_19

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Adductor insertion avulsion syndrome, also known as “thigh splints,” is a painful condition affecting the proximal to mid-femur at the insertion of the adductor muscles of the thigh. 18F-Sodium fluoride (18F-NaF) is increasingly used in diagnosing skeletal pain which is not identified on radiographs. We report a case of a 56-year-old morbidly obese woman with left hip pain referred for 18F-NaF positron emission tomography–computed tomography (PET-CT) as magnetic resonance imaging cannot be performed due to obesity. 18F-NaF PET-CT shows an increase in tracer uptake at the posteromedial cortex of the upper shaft of left femur. Findings are likely due to adductor insertion avulsion syndrome. 18F-NaF provides important diagnostic information that might alter treatment options.


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