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Case of the Week 401




What is the most likely diagnosis?

  • 22 year-old with pain in calf after exercise



Delayed Images from Radionuclide Bone Scan

  1. Stress fracture
  2. Deep vein thrombosis
  3. Hypertrophic osteoarthropathy
  4. "Shin Splints"
  5. Rickets

Additional Images - Flow images from same study

 

 

Additional Images

 

Radionuclide Triple Phase Flow Images


Answer:

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4. "Shin Splints"

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More (Click Discussion Tab)


"Shin Splints"

General Considerations

  • Catch-all term used to describe almost any pain in tibia
  • The most common cause of shin splints is medial tibial stress syndrome
    • Seen in military personnel and amongst athletes
  • Exercise induced pain and tenderness along posterior-medial border of tibia
  • Usually seen in athletes who increase their training

MORE...


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22 year-old with pain in calf after exercise
 
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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.