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Case Report: The role of bone scans in detecting Ribbing disease
Abel Dambrain1, Clément Bouron1, Franck Lacoeuille1,2
1Department of Nuclear Medicine, University Hospital Center, Angers, France.
Frontiers in Nuclear Medicine
|March 27, 2025
Summary
Bone scintigraphy is useful for diagnosing unclear osteoarticular pain. This imaging technique helped diagnose Ribbing disease, a rare bone dysplasia, in a patient with tibial pain.
Area of Science:
- Radiology
- Nuclear Medicine
- Orthopedics
Background:
- Osteoarticular pain can be challenging to diagnose with standard imaging like radiographs and MRI.
- Accurate diagnosis is crucial for appropriate treatment and management of bone conditions.
Observation:
- A 24-year-old male presented with chronic, intensifying tibial pain.
- Initial imaging suggested tibial bone marrow osteosclerosis with periostitis.
Findings:
- Bone scintigraphy revealed moderate hyperemia and severe hyperfixation in the tibia.
- Similar lesions were identified in the femur, humeri, and ulna.
- These findings confirmed a diagnosis of Ribbing disease, a rare sclerosing bone dysplasia.
Implications:
- Bone scintigraphy is a valuable tool for evaluating complex osteoarticular pain when conventional imaging is inconclusive.
- This case highlights the diagnostic utility of bone scans in identifying rare bone diseases like Ribbing disease.
- Early and accurate diagnosis through advanced imaging can improve patient outcomes for sclerosing bone dysplasias.
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