Case Author(s): Marc Montella, MD and Jerold Wallis, MD , 6/22/00 . Rating: #D2, #Q4

Diagnosis: Left Fibular Stress Fracture

Brief history:

Left leg pain


Limited Lower Extremity Bone Scan

View main image(bs) in a separate image viewer

View second image(xr). Left Tibia/Fibula Plain Film

Full history/Diagnosis is available below

Diagnosis: Left Fibular Stress Fracture

Full history:

19-year-old woman complaining of left leg pain for three weeks at the posterolateral aspect of the left lower leg. She gives a history of running approximately 48 miles per week. Radiographs obtained approximately one week ago were reportedly negative.


Tc-99m MDP


Delayed limited scintigrams of the lower extremities beginning at the level of the knees were obtained. A focus of increased radiotracer activity is noted at the posterolateral aspect of the left calf, likely in the fibula. No other abnormalities are seen. In conjunction with this patient's clinical presentation, this finding is diagnostic of a stress fracture.

ACR Codes and Keywords:

References and General Discussion of Bone Scintigraphy (Anatomic field:Skeletal System, Category:Effect of Trauma)

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Case number: bs118

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