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Case Reports
. 2013 Apr;28(2):105-7.
doi: 10.4103/0972-3919.118233.

Utility of bone scintigraphy in diagnosis of post- traumatic osteitis pubis

Tek Chand Kalawat  1 , Ravishwar Narayan, Parthasarathi Ravi, Amancharla Yadagiri Lakshmi
Affiliations
Case Reports

Utility of bone scintigraphy in diagnosis of post- traumatic osteitis pubis

Tek Chand Kalawat et al. Indian J Nucl Med. 2013 Apr.

Abstract

Minor musculoskeletal injuries usually heal within few weeks with conservative treatment, but in pelvic injuries, symptoms may persist for long duration and patient need medical attention to get relief from disturbing pain symptoms. We present a case of post-trauma osteitis pubis in a 58-year-old female, who reported with lower abdominal and left side hip joint pain since 2 months, after an episode of trivial trauma to her pelvis. Technetium-99m methylene diphosphonate bone scintigraphy was performed, which confirmed the site of injury in symphysis pubis and left hip joint, by increased radiotracer localization at both of these symptomatic sites.

Keywords: Bone scintigraphy; osteitis pubis; pelvic trauma.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Technetium-99m methylene diphosphonate bone scintigraphy, arrow in pelvis anterior and posterior planar images shows intense tracer uptake in symphysis pubis and mild increased uptake in left sacroiliac joint
Figure 2
Figure 2
Bone single photon emission computerized tomography of pelvic, transverse and coronal images shows mild diffuse increased uptake in left sacroiliac joint, arrow shows intense uptake site in joint
Figure 3
Figure 3
Transverse image, bone single photon emission computerized tomography (SPECT) (a), CT scan (b), and SPECT/CT scan (software based fusion) image (c), arrow shows intense tracer uptake in symphysis pubis with no structural abnormality, transverse image SPECT scan (d), CT scan (e), and SPECT/CT scan (software based fusion) image (f) shows diffuse increased uptake in left sacroiliac joint with mild sclerotic changes in corresponding area
See this image and copyright information in PMC

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