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Published on: May 31, 2019
The specific scintigraphic pattern of "shin splints in the lower leg": concise communication
Summary
Shin splints, characterized by exercise-induced tibial pain, show a specific pattern on bone scintigraphy. This imaging can help differentiate shin splints from other lower leg conditions in athletes.
Area of Science:
- Sports Medicine
- Radiology
- Orthopedics
Background:
- Shin splints present as exercise-induced pain along the posterior medial tibia.
- Accurate diagnosis is crucial for differentiating from stress fractures.
Purpose of the Study:
- To characterize the scintigraphic pattern of shin splints.
- To evaluate the utility of three-phase bone scintigraphy in diagnosing shin splints.
Main Methods:
- Prospective study of ten patients diagnosed with shin splints.
- Evaluation using three-phase bone scintigraphy, including radionuclide angiograms, blood-pool images, and delayed images.
- Crucial acquisition of both lateral and medial views.
Main Results:
- Radionuclide angiograms and blood-pool images were normal.
- Delayed scintigraphy revealed longitudinally oriented tibial lesions on the posterior cortex.
- Lesions were long, affecting one-third of the tibial length, with variable tracer uptake.
- Activity location suggested a link to the soleus muscle.
Conclusions:
- A specific scintigraphic pattern for shin splints was identified.
- Three-phase bone scintigraphy can differentiate shin splints from stress fractures and other causes of lower leg pain in athletes.
- Findings suggest a relationship between shin splints and the soleus muscle.
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