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Overview of the Role of Bone Scintigraphy in the Pathophysiology of Sporting Injuries

  • Hans Van der Wall
  • Manuel Cusi
  • Michael Magee
  • Robert Mansberg
  • Clayton Frater
  • Ignac Fogelman

Abstract

Bone scintigraphy is ideally placed to detect early and subtle manifestations of bone and soft-tissue injury in the context of sporting injuries. The pathophysiology of such injuries is easily reflected in the binding of the bone-seeking pharmaceuticals utilised in the technique. The addition of fused tomographic images from the scintigraphic tomograms and x-ray computed tomography (CT) enhances the sensitivity and specificity for detection of injury by marrying the high contrast resolution of scintigraphy to the spatial resolution of CT scanning. However, the accurate interpretation of images depends on a good history and physical examination together with careful planning of the study to extract the maximum value out of such studies.

Keywords

Stress Fracture Bone Scintigraphy Anterior Cruciate Ligament Injury Complex Regional Pain Syndrome Meniscal Tear 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

99mTc-MDP

Technetium 99m methylene diphosphonate

ACL

Anterior cruciate ligament

CT

Computerised tomography

MRI

Magnetic resonance imaging

MTP

Metatarsophalangeal joint

OLT

Osteochondral lesion of the talus

SPECT

Single-photon emission computerised tomography

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Hans Van der Wall
    • 1
  • Manuel Cusi
    • 2
  • Michael Magee
    • 1
  • Robert Mansberg
    • 3
  • Clayton Frater
    • 4
  • Ignac Fogelman
    • 5
  1. 1.Concord Nuclear ImagingSydneyAustralia
  2. 2.School of MedicineUniversity of Notre DameSydneyAustralia
  3. 3.Discipline of ImagingUniversity of SydneySydneyAustralia
  4. 4.Nuclear Medicine Research Foundation & University of SydneySydneyAustralia
  5. 5.Departments of Nuclear MedicineGuys and St. Thomas’ HospitalLondonUK

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