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Radiol Bras. 2018 Jul-Aug;51(4):225-230. doi: 10.1590/0100-3984.2017.0028.

Prognostic value of focal scintigraphic findings in clinically suspected cases of tibial stress fracture.

Radiologia brasileira

Wagner Castropil, Amisa Guimarães, Carlos Alberto Buchpiguel

Affiliations

  1. PhD, MD, Orthopedist at the Instituto Vita, São Paulo, SP, Brazil.
  2. MD, Attending Physician for Fleury Group, São Paulo, SP, Brazil.
  3. PhD, Full Professor in the Department of Radiology and Oncology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.

PMID: 30202125 PMCID: PMC6124586 DOI: 10.1590/0100-3984.2017.0028

Abstract

OBJECTIVE: To investigate the correlation between tracer uptake on bone scintigraphy and recovery time in patients with tibial stress fracture.

MATERIALS AND METHODS: We evaluated two groups of athletes: those with clinical suspicion and a radiological diagnosis of tibial stress fracture (TSF group, n = 21); and those with no symptoms or evidence of fracture (control group, n = 10). All subjects underwent bone scintigraphy and magnetic resonance imaging with a maximum interval of 7 days between the assessments.

RESULTS: Using the region of interest technique, we obtained a quantitative evaluation index, comparing affected and unaffected legs. The mean uptake of

CONCLUSION: In our sample of athletes, determining the bone scintigraphy uptake indices provided an objective method to estimate the appropriate recovery time after a tibial stress fracture.

Keywords: Athletes; Fractures, stress; Radionuclide imaging; Tibial fractures

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