We show a patient who presented leg pain triggered by intense exercise. The most likely diagnosis was a possible tibial stress fracture or a "shin splint" syndrome (soleus enthesopathy). We performed a bone scintigraphy including SPECT/CT that revealed the presence of the two concomitant pathologies. SPECT/CT identified the hot spot superimposed with bone lesion in the tibial stress fracture and only remodeling activity without evidence of cortical lesions in the enthesopathy processes.
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http://dx.doi.org/10.1097/RLU.0b013e318263953b | DOI Listing |
J Orthop Surg Res
December 2024
Department of Orthopaedic Trauma, Hebei Medical University Third Hospital, Ziqiang Road No.139, Shijiazhuang, Hebei Province, 050051, China.
Background: Posttraumatic osteoarthritis (PTOA) is directly associated with early acute articular cartilage injury. Inhibition of cartilage destruction immediately following joint damage can effectively slow or prevent PTOA progression. Therefore, we sought to determine intervention targets and therapeutic strategies in the acute stage of cartilage injury.
View Article and Find Full Text PDFBiomed Res Int
December 2024
Laboratory of Molecular Analysis, Graduate Program in Rehabilitation Science, Faculdade de Ciências da Saúde e Tecnologias, Universidade de Brasília, Brasília, Distrito Federal, Brazil.
Runners frequently suffer from medial tibial stress syndrome (MTSS), often linked to excessive eccentric muscle contractions causing periosteal traction by the muscles in the deep posterior compartment. However, the effects of MTSS on these muscles and tendons remain underexplored. This study is aimed at investigating changes in muscle and tendon volumes in this compartment, as well as cross-sectional area measurements, using magnetic resonance imaging.
View Article and Find Full Text PDFFoot Ankle Int
December 2024
Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Background: Supination external rotation (SER) fibula fractures with abnormal medial clear space (MCS) on stress radiographs that normalizes with weightbearing radiographs, termed SER4a ankle fractures, pose a challenge in treatment decision making. This study aims to quantify differences in joint contact area, tibiotalar rotation, and translation using weightbearing computed tomography (CT) scans in SER4a ankle fractures.
Methods: Between November 2022 and September 2023, patients presenting with isolated Weber B fibula fractures were evaluated for inclusion.
Arthrosc Tech
November 2024
Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
An incomplete discoid lateral meniscus is often associated with radial tears, which cause meniscal extrusion and result in poor healing outcomes. Centralization has recently been used as a surgical method to reduce extrusion. However, various repair techniques use single point of fixation sutures exclusively on the femoral side, potentially hindering healing.
View Article and Find Full Text PDFJ Sport Health Sci
December 2024
Department of Physical Therapy and Rehabilitation Sciences, Drexel University, Philadelphia, PA 19102, USA.
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