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. 2019 Jul-Sep;34(3):251-253.
doi: 10.4103/ijnm.IJNM_68_19.

Tc-99m HDP Single Photon Emission Computed Tomography/Computed Tomography in Stress Fracture of Base of Metatarsal Bone

Sharjeel Usmani  1   2 , Fatma Al-Ramadhan  1 , Fahad Marafi  2 , Rashid Rasheed  1 , Fareeda Al Kandari  1
Affiliations

Tc-99m HDP Single Photon Emission Computed Tomography/Computed Tomography in Stress Fracture of Base of Metatarsal Bone

Sharjeel Usmani et al. Indian J Nucl Med. 2019 Jul-Sep.

Abstract

Proximal metatarsal stress fractures are common at base of the second metatarsal, typically seen in repetitive impact athletes, dancers, and those with cavus feet. It is caused by increased bone resorption rather than formation in a state of abrupt increased physical activity or intensity, leading to repetitive microfractures and eventually stress fracture. It is characterized by swelling and tenderness of a prolonged duration. We report a case of a 40-year-old female having left foot pain diagnosed with stress fracture on Tc-99m HDP single-photon emission computed tomography (SPECT)-CT. We emphasize the use of SPECT/CT in allocating active source of pain in the feet.

Keywords: Foot pain; Tc-99m HDP single-photon emission computed tomography-computed tomography; stress fracture.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Dynamic flow and blood pool images showing increased flow and hyperemia at the left midtarsal region. The delayed whole body showing focal area of increase tracer uptake at the base of left second metatarsal bone. Right foot is unremarkable
Figure 2
Figure 2
Noncontrast computed tomography sagittal, coronal, and transaxial images showing fracture line with corresponding increased uptake on fused images
See this image and copyright information in PMC

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References

    1. Kaiser PB, Guss D, DiGiovanni CW. Stress fractures of the foot and ankle in athletes. Foot Ankle Orthop. 2018;3:1–11. - PMC - PubMed
    1. Chuckpaiwong B, Cook C, Pietrobon R, Nunley JA. Second metatarsal stress fracture in sport: Comparative risk factors between proximal and non-proximal locations. Br J Sports Med. 2007;41:510–4. - PMC - PubMed
    1. Simons SM. Foot injuries in the runner. In: O'Connor FG, Wilder RP, editors. Textbook of Running Medicine. New York: McGraw-Hill; 2001. pp. 213–26.
    1. Albisetti W, Perugia D, De Bartolomeo O, Tagliabue L, Camerucci E, Calori GM, et al. Stress fractures of the base of the metatarsal bones in young trainee ballet dancers. Int Orthop. 2010;34:51–5. - PMC - PubMed
    1. Brukner P, Bennell K. Stress fractures in female athletes. Diagnosis, management and rehabilitation. Sports Med. 1997;24:419–29. - PubMed