Abstract
A man with complaint of soreness in the right medial ankle underwent three-phase bone scintigraphy; the results of the study suggested chronic active osteomyelitis or cellulitis, he was on antibiotics and was not experiencing any improvement. MR imaging confirmed Achilles tendon rupture. This case illustrates that a positive three-phase study is non-specific disease entity.
Similar content being viewed by others
References
Palestro CJ, Torres MA. Radionuclide imaging in orthopedic infections.Semin Nucl Med 27: 334–345, 1997.
Schauwecker DS. The scintigraphic diagnosis of osteomyelitis.AJR 158: 9–18, 1992.
Delbeke D, Habibian MR. Noninflammatory entities and the differential diagnosis of positive three phase bone imaging.Clin Nucl Med 18: 844–851, 1988.
Van-der-Aoude HJ, Bloem JL, Schipper J, Herman J, et al. Changes in tumor perfusion induced by chemotherapy in bone sarcoma: color Doppler flow imaging compared with contrast-enhanced MR imaging and three phase bone scintigraphy.Radiology 191: 421–431, 1994.
Pickhardt PJ, Shapiro B. Three phase skeletal scintigraphy in gouty arthritis: an example of potential diagnostic pitfalls in radiopharmaceutical imaging of the extremities for infection.Clin Nucl Med 21: 33–39, 1996.
Al Nahhas AM, Collins CD, Jawad AS, McCready VR. Reversible findings of methylene diphosphonate bone scintigraphy in Raynaud's phenomenon: case report and review of the literature.Eur J Nucl Med 21: 258–260, 1994.
Rockett JF, Magill HL, Moinuddin M, Buchhignani JS. Scintigraphic manifestation of iliotibial band injury in an endurance athlete.Clin Nucl Med 16: 836–838, 1991.
Patel NH, Jacobson AF, Williams J. Scintigraphic detection of sequential symmetrical metatarsal stress fractures.J Am Pediat Med Assoc 85: 162–163, 1995.
Schelstraete K, Danels F, Obrie E. Tc-99m diphosphonate, Ga-67 and labeled leukocyte scanning techniques in tibial nonunion.Acta Orthopaedica Belgica 58 (Suppl 1): 168–172, 1992.
Marks PH, Goldenberg JA, Vezina WC, Chamerlain MJ, Vellet AD, Fowler PJ. Subchondral bone infarction in acute ligamentous knee injuries demonstrated on bone scintigraphy and MR imaging.J Nucl Med 33: 516–520, 1992.
Maurer AH, Paczolt EA, Myers AR. Diagnosis of traumatic myositis of the intrinsic muscles of the hand by the use of three phase skeletal scintigraphy.Clin Nucl Med 15: 535–538, 1990.
Stiskal M, Szolar DH, Stenzel I, Steiner E, et al. Magnetic resonance imaging of Achilles tendon in patients with rheumatic arthritis.Investigative Radiology 31: 602–608, 1997.
Khoury NJ, El-Khoury GY, Saltzman C, Brandser EA. Rupture of the anterior tibial tendon: Diagnosis by MR imaging.AJR 167: 351–354, 1996.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Shih, WJ., Pulmano, C. Demonstration of achilles tendon rupture by three phase bone scintigraphy and MRI. Ann Nucl Med 14, 53–55 (2000). https://doi.org/10.1007/BF02990479
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02990479