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An uncommon case of septic cortical osteitis
Christian Picard1, Bruno Krug, Yves Boutsen
1Department of Nuclear Medicine, Mont-Godinne Medical Center, Université Catholique de Louvain, Belgium.
Clinical Nuclear Medicine
|August 2, 2007
Summary
A healthy woman experienced severe leg pain unresponsive to medication, later diagnosed via X-ray. This case highlights tibial crest abnormalities in athletes.
Area of Science:
- Orthopedics
- Sports Medicine
- Radiology
Background:
- A 39-year-old female athlete presented with a month of progressive, severe right anterior leg pain.
- Pain was refractory to non-steroidal anti-inflammatory drugs (NSAIDs) and impacted mobility.
Observation:
- Clinical examination revealed inflamed, tender pretibial skin without external injury.
- Initial blood tests showed moderate, non-specific inflammation (elevated C-reactive protein and sedimentation rate).
Findings:
- Initial leg radiographs were normal.
- Follow-up radiographs after two weeks demonstrated cortical and lamellar lucencies in the right tibial crest.
Implications:
- This case suggests that tibial crest lucencies can manifest as progressive leg pain in athletes.
- Radiographic monitoring is crucial for diagnosing subtle bone abnormalities in sports-related leg pain.
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