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Overview of the Role of Bone Scintigraphy in the Pathophysiology of Sporting Injuries

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Nuclear Medicine and Radiologic Imaging in Sports Injuries

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Abstract

Bone scintigraphy is ideally placed to detect early and subtle manifestations of bone and soft-tissue injury in the context of sporting injuries. The pathophysiology of such injuries is easily reflected in the binding of the bone-seeking pharmaceuticals utilised in the technique. The addition of fused tomographic images from the scintigraphic tomograms and x-ray computed tomography (CT) enhances the sensitivity and specificity for detection of injury by marrying the high contrast resolution of scintigraphy to the spatial resolution of CT scanning. However, the accurate interpretation of images depends on a good history and physical examination together with careful planning of the study to extract the maximum value out of such studies.

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Abbreviations

99mTc-MDP:

Technetium 99m methylene diphosphonate

ACL:

Anterior cruciate ligament

CT:

Computerised tomography

MRI:

Magnetic resonance imaging

MTP:

Metatarsophalangeal joint

OLT:

Osteochondral lesion of the talus

SPECT:

Single-photon emission computerised tomography

References

  • Albert H, Godskesen M, Westergaard J (2002) Incidence of four syndromes of pregnancy-related pelvic joint pain. Spine 27(24):2831–2834

    Article  PubMed  Google Scholar 

  • al-Janabi MA (1994) The role of bone scintigraphy and other imaging modalities in knee pain. Nucl Med Commun 15(12):991–996

    Article  CAS  PubMed  Google Scholar 

  • Amendola A, Wolcott M (2002) Bony injuries around the hip. Sports Med Arthroscopy Rev 10:163–167

    Article  Google Scholar 

  • Ananos Gimenez M, de la Cueva L, Navarro P, Arroyo E, Lievano P, Gonzalez M, Baringo T, Abos D (2009) Utility of SPECT-CT in the characterization of rib injuries. Rev Esp Med Nucl 28(6):299–300. doi:10.1016/j.remn.2009.04.003. S0212-6982(09)00015-9

    Article  PubMed  Google Scholar 

  • Anderson IF, Crichton KJ, Grattan-Smith T, Cooper RA, Brazier D (1989) Osteochondral fractures of the dome of the talus. J Bone Joint Surg 71-A:1143–1152

    Google Scholar 

  • Bennell KL, Brukner PD (1997) Epidemiology and site specificity of stress fractures. Clin Sports Med 16(2):179–196

    Article  CAS  PubMed  Google Scholar 

  • Bertolotti M (1917) Contributo alla conoscenza dei vizi di differenziazione regionale del rachide con speciale riguardo all’assimilazione sacrale della V lombare. Radiol Med (Torino) 4:113–114

    Google Scholar 

  • Blair SN, Sallis RE, Hutber A, Archer E (2012) Exercise therapy – the public health message. Scand J Med Sci Sports 22(4):e24–e28. doi:10.1111/j.1600-0838.2012.01462.x

    Article  CAS  PubMed  Google Scholar 

  • Boden BP, Osbahr DC (2000) High-risk stress fractures: evaluation and treatment. J Am Acad Orthop Surg 8(6):344–353

    CAS  PubMed  Google Scholar 

  • Bohne WH (2001) Tarsal coalition. Curr Opin Pediatr 13(1):29–35

    Article  CAS  PubMed  Google Scholar 

  • Brudvig TJ, Gudger TD, Obermeyer L (1983) Stress fractures in 295 trainees: a one-year study of incidence as related to age, sex and race. Mil Med 148:666–667

    CAS  PubMed  Google Scholar 

  • Brukner P, Bennell K (1997) Stress fractures in female athletes. Diagnosis, management and rehabilitation. Sports Med 24(6):419–429

    Article  CAS  PubMed  Google Scholar 

  • Brukner P, Khan K (eds) (2001) Clinical sports medicine, 2nd edn. McGraw-Hill, Sydney

    Google Scholar 

  • Campbell RS, Grainger AJ, Hide IG, Papastefanou S, Greenough CG (2005) Juvenile spondylolysis: a comparative analysis of CT, SPECT and MRI. Skeletal Radiol 34(2):63–73. doi:10.1007/s00256-004-0878-3

    Article  CAS  PubMed  Google Scholar 

  • Carter DR, Caler WE (1983) Cycle-dependent and time-dependent bone fracture with repeated loading. J Biomech Eng 105:166–170

    Article  CAS  PubMed  Google Scholar 

  • Chakraverty JK, Sullivan C, Gan C, Narayanaswamy S, Kamath S (2013) Cam and pincer femoroacetabular impingement: CT findings of features resembling femoroacetabular impingement in a young population without symptoms. AJR Am J Roentgenol 200(2):389–395. doi:10.2214/AJR.12.8546

    Article  PubMed  Google Scholar 

  • Chappard D, Basle M, Legrand E et al (2008) Trabecular bone microarchitecture: a review. Morphologie 92(299):162–170

    Article  CAS  PubMed  Google Scholar 

  • Charkes ND, Siddhivarn N, Schneck CD (1987) Bone scanning in the adductor insertion avulsion syndrome (“thigh splints”). J Nucl Med 28:1835

    CAS  PubMed  Google Scholar 

  • Chen J, Liu C, You L et al (2009) Boning up on Wolff’s Law: mechanical regulation of the cells that make and maintain bone. J Biomech 43(1):108–118

    Article  PubMed  Google Scholar 

  • Chung HW, Kim YH, Hong SH, Kim SS, Chung J-K, Seong SC, Kang HS (2000) Indirect signs of anterior cruciate ligament injury on SPET: Comparison with MRI and arthroscopy. Nucl Med Commun 21:651–658

    Article  CAS  PubMed  Google Scholar 

  • Clunie G, Bomanji J, Ell PJ (1997) Technetium-99 m-MDP patterns in patients with painful shoulder lesions. J Nucl Med 38:1491–1495

    CAS  PubMed  Google Scholar 

  • Cohen J (1968) “Weighted kappa: Nominal scale agreement with provision for scaled disagreement or partial credit”. Psychol Bull 70 (4): 213–220. doi:10.1037/h0026256.

  • Collier BD, Johnson RP, Carrera GF, Isitman AT, Veluvolu P, Knobel J, Hellman RS, Barthelemy CR (1985) Chronic knee pain assessed by SPECT: comparison with other modalities. Radiology 157(3):795–802

    Article  CAS  PubMed  Google Scholar 

  • Congeni J, McCulloch J, Swanson K (1997) Lumbar spondylolysis. A study of natural progression in athletes. Am J Sports Med 25(2):248–253

    Article  CAS  PubMed  Google Scholar 

  • Connolly SA, Connolly LP, Jaramillo D (2001) Imaging of sports injuries in children and adolescents. Radiol Clin North Am 39(4):773–790

    Article  CAS  PubMed  Google Scholar 

  • Connolly L, d’Hemecourt P, Connolly S et al (2003) Skeletal scintigraphy of young patients with low-back pain and a lumbosacral transitional vertebra. J Nucl Med Technol 44(6):909–914

    Google Scholar 

  • Conti SF (1994) Posterior tibial tendon problems in athletes. Orthop Clin North Am 25(1):109–121

    CAS  PubMed  Google Scholar 

  • Cook GJ, Fogelman I (1996) Lateral collateral ligament tear of the knee: appearances on bone. Eur J Nucl Med 23(6):720–722

    Article  CAS  PubMed  Google Scholar 

  • Courtenay BG, Bowers DM (1990) Stress fractures: clinical features and investigation. Med J Aust 153(3):155–156

    CAS  PubMed  Google Scholar 

  • Crisp TA (1998) Tibialis posterior tendonitis associated with os naviculare. Med Sci Sports Exerc 30(8):1183–1190

    Article  Google Scholar 

  • Cusi M, Saunders J, Van der Wall H, Fogelman I (2013) Metabolic disturbances identified by SPECT-CT in patients with a clinical diagnosis of sacroiliac joint incompetence. Eur Spine J 22(7):1674–1682. doi:10.1007/s00586-013-2725-5

    Article  PubMed Central  PubMed  Google Scholar 

  • Devas MB (1975) Stress fractures. Churchill Livingstone, London

    Google Scholar 

  • Donahue SW, Sharkey NA (1999) Strains in the metatarsals during the stance phase of gait: Implications for stress fractures. J Bone Joint Surg 81-A(9):1236–1244

    Google Scholar 

  • Dubowitz DJ, Miles KA (1994) Technical note: bone SPECT of the wrist. Br J Radiol 67(801):890–893

    Article  CAS  PubMed  Google Scholar 

  • Elster A (1989) Bertolotti’s syndrome revisited. Transitional vertebrae of the lumbar spine. Spine 14(12):1373–1377

    Article  CAS  PubMed  Google Scholar 

  • Fallat L, Grimm DJ, Saracco JA (1998) Sprained ankle syndrome: prevalence and analysis of 639 acute injuries. J Foot Ankle Surg 37(4):280–285

    Article  CAS  PubMed  Google Scholar 

  • Frater CJ (2001) Importance of positioning and frequency of unexpected scintigraphic findings in a high impact sport. Nucl Med Commun 22(11):1231–1235

    Article  CAS  PubMed  Google Scholar 

  • Frater C, Van Gaal W, Kannangara S, Van Der Wall H (2002) Scintigraphy of injuries to the distal tibiofibular syndesmosis. Clin Nucl Med 27(9):625–627

    Article  PubMed  Google Scholar 

  • Frater C, Vu D, Van der Wall H, Perera C, Halasz P, Emmett L, Fogelman I (2006) Bone scintigraphy predicts outcome of steroid injection for plantar fasciitis. J Nucl Med 47(10):1577–1580

    PubMed  Google Scholar 

  • Fredrickson B, Baker D, McHolick W et al (1984) The natural history of spondylolysis and spondylolisthesis. J Bone Joint Surg Am 66(5):699–707

    CAS  PubMed  Google Scholar 

  • Frost H (2004) A 2003 update of bone physiology and Wolff’s Law for clinicians. Angle Orthod 74(1):3–15

    PubMed  Google Scholar 

  • Gates GF (1996) Oblique angle bone SPECT imaging of the lumbar spine, pelvis and hips. Clin Nucl Med 21(5):359–362

    Article  CAS  PubMed  Google Scholar 

  • Georgoulias P, Georgiadis I, Dimakopoulos N, Mortzos G (2001) Scintigraphy of stress fractures of the sesamoid bones. Clin Nucl Med 26(11):944–945

    Article  CAS  PubMed  Google Scholar 

  • Geslien GE, Thrall JH, Espinosa JL, Older RA (1976) Early detection of stress fractures using 99mTc-polyphosphate. Radiology 121(3 Pt. 1):683–687

    Article  CAS  PubMed  Google Scholar 

  • Gnanasegaran G, Cook G, Adamson K, Fogelman I (2009) Patterns, variants, artifacts, and pitfalls in conventional radionuclide bone imaging and SPECT/CT. Semin Nucl Med 39(6):380–395. doi:10.1053/j.semnuclmed.2009.07.003

    Article  PubMed  Google Scholar 

  • Greaney RB, Gerber FH, Laughlin RL et al (1983) Distribution and natural history of stress fractures in US Marine recruits. Radiology 146:339–346

    Article  CAS  PubMed  Google Scholar 

  • Green JS, Morgan B, Lauder I, Finlay DB, Allen M, Belton I (1996) The correlation of bone scintigraphy and histological findings in patellar tendinitis. Nucl Med Commun 17(3):231–234

    Article  CAS  PubMed  Google Scholar 

  • Gregory P, Batt M, Kerslake R et al (2005) Single photon emission computerized tomography and reverse gantry computerized tomography findings in patients with back pain investigated for spondylolysis. Clin J Sport Med 15(2):79–86

    Article  PubMed  Google Scholar 

  • Groves A, Cheow H, Balan K et al (2005) 16 detector multislice CT versus skeletal scintigraphy in the diagnosis of wrist fractures: value of quantification of 99Tcm-MDP uptake. Br J Radiol 78(933):791–795

    Article  CAS  PubMed  Google Scholar 

  • Hickey GJ, Fricker PA, McDonald WA (1997) Injuries to elite rowers over a 10-yr period. Med Sci Sports Exerc 29(12):1567–1572

    Article  CAS  PubMed  Google Scholar 

  • Hill PF, Chatterji S, Chambers D, Keeling JD (1996) Stress fracture of the pubic ramus in female recruits. J Bone Joint Surg Br 78(3):383–386

    CAS  PubMed  Google Scholar 

  • Hirschmann M, Iranpour F, Davda K et al (2010) Combined single-photon emission computerized tomography and conventional computerized tomography (SPECT/CT): clinical value for the knee surgeons? Knee Surg Sports Traumatol Arthrosc 18(3):341–345

    Article  PubMed  Google Scholar 

  • Hodge JC (1999) Anterior process fracture or calcaneus secundarius: a case report. J Emerg Med 17(2):305–309

    Article  CAS  PubMed  Google Scholar 

  • Holder LE, Michael RH (1984) The specific scintigraphic pattern of “shin splints” in the lower leg: Concise communication. J Nucl Med 25:865–869

    CAS  PubMed  Google Scholar 

  • Howarth D, Southee A, Cardew P, Front D (1994) SPECT in avulsion injury of the multifidus and rotator muscles of the lumbar region. Clin Nucl Med 19(7):571–574

    Article  CAS  PubMed  Google Scholar 

  • Huang H, Qureshi A, Biundo J (2000) Sports and other soft tissue injuries, tendinitis, bursitis, and occupation-related syndromes. Curr Opin Rheumatol 12(2):150–154

    Article  CAS  PubMed  Google Scholar 

  • Hulkko A, Orava S (1987) Stress fractures in athletes. Int J Sports Med 8(3):221–226

    Article  CAS  PubMed  Google Scholar 

  • Hulkko A, Orava S, Nikula P (1985) Stress fracture of the fifth metatarsal in athletes. Ann Chir Gynaecol 74(5):233–238

    CAS  PubMed  Google Scholar 

  • Ishibashi Y, Okamura Y, Otsuka H, Nishizawa K, Sasaki T, Toh S (2002) Comparison of scintigraphy and magnetic resonance imaging for stress injuries of bone. Clin J Sport Med 12(2):79–84

    Article  PubMed  Google Scholar 

  • Johnson RP, Collier BD, Carrera GF (1984) The os trigonum syndrome: use of bone scan in the diagnosis. J Trauma 24(8):761–764

    Article  CAS  PubMed  Google Scholar 

  • Johnson AW, Weiss CB Jr, Stento K, Wheeler DL (2001) Stress fractures of the sacrum. An atypical cause of low back pain in the female athlete. Am J Sports Med 29(4):498–508

    CAS  PubMed  Google Scholar 

  • Jones DG (2009) Articular cartilage degeneration: etiologic association with obesity. Ochsner J 9(3):137–139

    PubMed Central  PubMed  Google Scholar 

  • Kahn D, Wilson MA (1987) Bone scintigraphic findings in patellar tendonitis. J Nucl Med 28(11):1768–1770

    CAS  PubMed  Google Scholar 

  • Knirk JL, Jupiter JB (1986) Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am 68:647–659

    CAS  PubMed  Google Scholar 

  • Kortebein PM, Kaufman KR, Basford JR, Stuart MJ (2000) Medial tibial stress syndrome. Med Sci Sports Exerc 32(2 Supplement):S27–S33

    CAS  PubMed  Google Scholar 

  • Larsen EC, Wilken-Jensen C, Hansen A, Jensen DV, Johansen S, Minck H, Wormsley M, Davidsen M, Hansen TM (1999) Symptom-giving pelvic girdle relaxation in pregnancy. I: prevalence and risk factors. Acta Obstet Gynecol Scand 78:105–110

    Article  CAS  PubMed  Google Scholar 

  • Le Jeune JJ, Rochcongar P, Vazelle F, Bernard AM, Herry JY, Ramee A (1984) Pubic pain syndrome in sportsmen: comparison of radiographic and scintigraphic findings. Eur J Nucl Med 9(6):250–253

    Article  PubMed  Google Scholar 

  • Lee EW, Donatto KC (1999) Fractures of the midfoot and forefoot. Curr Opin Orthop 10:224–230

    Article  Google Scholar 

  • Lee A, Emmett L, Van der Wall H, Kannangara S, Mansberg R, Fogelman I (2008) SPECT/CT of femoroacetabular impingement. Clin Nucl Med 33(11):757–762. doi:10.1097/RLU.0b013e318187ef6b. 00003072-200811000-00005 [pii]

    Article  PubMed  Google Scholar 

  • Mandell GA, Harcke HT, Hugh J, Kumar SJ, Maas KW (1990) Detection of talocalcaneal coalitions by magnification bone scintigraphy. J Nucl Med 31(11):1797–1801

    CAS  PubMed  Google Scholar 

  • Marks PH, Goldenberg JA, Vezina WC, Chamberlain MJ, Vellet AD, Fowler PJ (1992) Subchondral bone infractions in acute ligamentous knee injuries demonstrated on bone scintigraphy and magnetic resonance imaging. J Nucl Med 33(4):516–520

    CAS  PubMed  Google Scholar 

  • Matheson GO, Clement DB, McKenzie DC, Taunton JE, Lloyd-Smith DR, Macintyre JG (1987) Scintigraphic uptake of 99mTc at non-painful sites in athletes with stress fractures. The concept of bone strain. Sports Med 4(1):65–75

    Article  CAS  PubMed  Google Scholar 

  • Matin P, Lang G, Carretta R, Simon G (1983) Scintigraphic evaluation of muscle damage following extreme exercise: concise communication. J Nucl Med 24(4):308–311

    CAS  PubMed  Google Scholar 

  • Maurer AH (1991) Nuclear medicine in evaluation of the hand and wrist. Hand Clin 7(1):183–200

    CAS  PubMed  Google Scholar 

  • McBryde AM Jr (1975) Stress fractures in athletes. J Sports Med 3(5):212–217

    Article  PubMed  Google Scholar 

  • McBryde AM (1985) Stress fractures in runners. Clin Sports Med 4:737–752

    PubMed  Google Scholar 

  • McFarland EG, Giangarra C (1996) Sacral stress fractures in athletes. Clin Orthop Relat Res 329:240–243

    Article  PubMed  Google Scholar 

  • Miyamoto R, Dhotar H, Rose D et al (2009) Surgical treatment of refractory tibial stress fractures in elite dancers: a case series. Am J Sports Med 37(6):1150–1154

    Article  PubMed  Google Scholar 

  • Mohamed A, Ryan P, Lewis M, Jarosz JM, Fogelman I, Spencer JD, Clarke SE (1997) Registration bone scan in the evaluation of wrist pain. J Hand Surg Br 22(2):161–166

    Article  CAS  PubMed  Google Scholar 

  • Mohan H, Gnanasegaran G, Vijayanathan S et al (2010) SPECT/CT in imaging foot and ankle pathology-the demise of other coregistration techniques. Semin Nucl Med 40(1):41–51

    Article  PubMed  Google Scholar 

  • Murray IPC, Frater CJ (1994) Prominence of the C2 vertebra on SPECT. A normal variant. Clin Nucl Med 19(10):855–859

    Article  CAS  PubMed  Google Scholar 

  • Murray IPC, Dixon J, Kohan L (1990) SPECT for acute knee pain. Clin Nucl Med 15:828–840

    Article  CAS  PubMed  Google Scholar 

  • Nadel HR (2010) Pediatric bone scintigraphy update. Semin Nucl Med 40(1):31–40. doi:10.1053/j.semnuclmed.2009.10.001

    Article  PubMed  Google Scholar 

  • O’Brien F, Brennan O, Kennedy O et al (2005) Microcracks in cortical bone: how do they affect bone biology? Curr Osteoporos Rep 3(2):39–45

    Article  PubMed  Google Scholar 

  • Orava S (1980) Stress fractures. Br J Sports Med 14(1):40–44

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Orava S, Jormakka E, Hulkko A (1981) Stress fractures in young athletes. Arch Orthop Trauma Surg 98(4):271–274

    Article  CAS  PubMed  Google Scholar 

  • Orava S, Karpakka J, Hulkko A, Takala T (1991) Stress avulsion fracture of the tarsal navicular. An uncommon sports-related overuse injury. Am J Sports Med 19(4):392–395

    Article  CAS  PubMed  Google Scholar 

  • Ostgaard HC, Andersson GBJ, Karlsson K (1991) Prevalence of back pain in pregnancy. Spine 1991(16):549–552

    Article  Google Scholar 

  • Pagenstert GI, Barg A, Leumann AG, Rasch H, Muller-Brand J, Hintermann B, Valderrabano V (2009) SPECT-CT imaging in degenerative joint disease of the foot and ankle. J Bone Joint Surg Br 91(9):1191–1196. doi:10.1302/0301-620X.91B9.22570. 91-B/9/1191 [pii]

    Article  CAS  PubMed  Google Scholar 

  • Park J, Park S, Keum JS et al (2009) The diagnosis and prognosis of impingement syndrome in the shoulder with using quantitative SPECT assessment: a prospective study of 73 patients and 24 volunteers. Clin Orthop Surg 1(4):194–200

    Article  PubMed Central  PubMed  Google Scholar 

  • Patel N, Collier BD, Carrera GF, Hanel DP, Sanger JR, Matloub HS, Hackbarth DA, Krasnow AZ, Hellman RS, Isitman AT (1992) High-resolution bone scintigraphy of the adult wrist. Clin Nucl Med 17:449–453

    Article  CAS  PubMed  Google Scholar 

  • Patterson SP, Daffner RH, Sciulli RL, Schneck-Jacob SL (2004) Fatigue fracture of the sacrum in an adolescent. Pediatr Radiol 34(8):633–635. doi:10.1007/s00247-004-1234-4

    Article  PubMed  Google Scholar 

  • Pester S, Smith PC (1992) Stress fractures in the lower extremities of soldiers in basic training. Orthop Rev 21(3):297–303

    CAS  PubMed  Google Scholar 

  • Peterson HA (1996) Physeal and apophyseal injuries. In: Rockwood CAJ, Wilkins KE, Beaty JH (eds) Fractures in children, 4th edn. J.B. Lippincott, Philadelphia, pp 103–166

    Google Scholar 

  • Raby N, Matthews S (1993) symptomatic spondylolysis: correlation of CT and SPECT with clinical outcome. Clin Radiol 48:97–99

    Article  CAS  PubMed  Google Scholar 

  • Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A (1998) Bone bruise of the knee. Histology and cryosections in 5 cases. Acta Orthop Scand 69(3):291–294

    Article  CAS  PubMed  Google Scholar 

  • Roach PJ, Cooper RA (1993) Arm-splints seen on a bone scan in a volleyball player. Clin Nucl Med 18:900–901

    Article  CAS  PubMed  Google Scholar 

  • Ryan PJ (2000) Bone SPECT of the knees. Nucl Med Commun 21(10):877–885

    Article  CAS  PubMed  Google Scholar 

  • Ryan PJ, Fogelman I (1994) The role of nuclear medicine in orthopaedics [see comments]. Nucl Med Commun 15(5):341–360

    Article  CAS  PubMed  Google Scholar 

  • Ryan PJ, Chauduri R, Bingham J, Fogelman I (1996) A comparison of MRI and bone SPET in the diagnosis of knee pathology. Nucl Med Commun 17(2):125–131

    Article  CAS  PubMed  Google Scholar 

  • Ryan PJ, Reddy K, Fleetcroft J (1998) A prospective comparison of clinical examination, MRI, bone SPECT, and arthroscopy to detect meniscal tears. Clin Nucl Med 23(12):803–806

    Article  CAS  PubMed  Google Scholar 

  • Sahar N, Hong S, Kohn D (2005) Micro- and nano-structural analyses of damage in bone. Micron 36(7–8):617–629

    Article  PubMed  Google Scholar 

  • Scharf S (2009) SPECT/CT imaging in general orthopedic practice. Semin Nucl Med 39(5):293–307. doi:10.1053/j.semnuclmed.2009.06.002. S0001-2998(09)00044-0 [pii]

    Article  PubMed  Google Scholar 

  • Seitz JP, Unguez CE, Corbus HF, Wooten WW (1995) SPECT of the cervical spine in the evaluation of neck pain after trauma. Clin Nucl Med 20(8):667–673

    Article  CAS  PubMed  Google Scholar 

  • Shah MK, Stewart GW (2002) Sacral stress fractures: an unusual cause of low back pain in an athlete. Spine 27(4):E104–E108

    Article  PubMed  Google Scholar 

  • Shea MP, Manoli A (1993) Osteochondral lesions of the talar dome. Foot Ankle 14:48–55

    Article  CAS  PubMed  Google Scholar 

  • Sherman GM, Seitz WH (1999) Fractures and dislocations of the wrist. Curr Opin Orthop 10:237–251

    Article  Google Scholar 

  • Sinha P, Kim A, Umans H, Freeman LM (2000) Scintigraphic findings in peroneal tendonitis: a case report. Clin Nucl Med 25(1):17–19

    Article  CAS  PubMed  Google Scholar 

  • Sink EL, Kim YJ (2012) Femoroacetabular impingement: current clinical evidence. J Pediatr Orthop 32(Suppl 2):S166–S171. doi:10.1097/BPO.0b013e318259f30d

    Article  PubMed  Google Scholar 

  • Smith RW, Reischl SF (1988) Metatarsophalangeal joint synovitis in athletes. Clin Sports Med 7(1):75–88

    CAS  PubMed  Google Scholar 

  • Smith AM, Lopez-Jimenez F, McMahon MM, Thomas RJ, Wellik MA, Jensen MD, Hensrud DD (2005) Action on obesity: report of a mayo clinic national summit. Mayo Clin Proc 80(4):527–532. doi:10.1016/S0025-6196(11)63204-7

    Article  PubMed  Google Scholar 

  • So Y, Chung JK, Seong SC, Sohn YJ, Kang HS, Lee DS, Lee MC (2000) Usefulness of 99Tcm-MDP knee SPET for pre-arthroscopic evaluation of patients with internal derangements of the knee. Nucl Med Commun 21(1):103–109

    Article  CAS  PubMed  Google Scholar 

  • Sopov W, Groshar D (1999) Asymptomatic fatigue fracture of the proximal ulna associated with symptomatic fatigue fractures of the lower limbs. Clin Nucl Med 24(6):443–444

    Article  CAS  PubMed  Google Scholar 

  • Stroud CC, Marks RM (2000) Imaging of osteochondral lesions of the talus. Foot Ankle Clin 5(1):119–133

    CAS  PubMed  Google Scholar 

  • Thompson FM, Hamilton WG (1987) Problems of the second metatarsophalangeal joint. Orthopedics 10(1):83–89

    CAS  PubMed  Google Scholar 

  • Toss F, Wiklund P, Nordstrom P, Nordstrom A (2012) Body composition and mortality risk in later life. Age Ageing. doi:10.1093/ageing/afs087

    PubMed  Google Scholar 

  • Umans H (2002) Ankle impingement syndromes. Semin Musculoskelet Radiol 6(2):133–140

    Article  PubMed  Google Scholar 

  • Urman M, Ammann W, Sisler J, Lentle BC, Llyod-Smith R, Loomer R, Fisher C (1991) The role of bone scintigraphy in the evaluation of talar dome fractures. J Nucl Med 32(12):2241–2244

    CAS  PubMed  Google Scholar 

  • Van der Wall H, Frater CJ, Magee MA, Kannangara S, Bruce W, Murray IPC (1999) A novel view for the scintigraphic assessment of the elbow. Nucl Med Commun 20(11):1059–1065

    Google Scholar 

  • Van Dyck P, Vanhoenacker FM, Lambrecht V, Wouters K, Gielen JL, Dossche L, Parizel PM (2013) Prospective comparison of 1.5 and 3.0-T MRI for evaluating the knee menisci and ACL. J Bone Joint Surg Am 95(10):916–924. doi:10.2106/JBJS.L.01195

    Article  PubMed  Google Scholar 

  • Vincent HK, Heywood K, Connelly J, Hurley RW (2012) Obesity and weight loss in the treatment and prevention of osteoarthritis. PM R 4(5 Suppl):S59–S67. doi:10.1016/j.pmrj.2012.01.005

    Article  PubMed Central  PubMed  Google Scholar 

  • Volpin G, Hoerer D, Groisman G, Zaltzman S, Stein H (1990) Stress fractures of the femoral neck following strenuous activity. J Orthop Trauma 4(4):394–398

    Article  CAS  PubMed  Google Scholar 

  • Williams T, Puckett M, Denison G et al (2002) Acetabular stress fractures in military endurance athletes and recruits: incidence and MRI and scintigraphic findings. Skeletal Radiol 31(5):277–281

    Article  CAS  PubMed  Google Scholar 

  • Wolff J (1986) The law of bone remodeling. Springer, Berlin

    Book  Google Scholar 

  • Yard E, Comstock D (2011) Injury patterns by body mass index in US high school athletes. J Phys Act Health 8(2):182–191

    PubMed  Google Scholar 

  • Yeung MS, Chan KM, So CH, Yuan WY (1994) An epidemiological survey on ankle sprain. Br J Sports Med 28(2):112–116

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Yildirim M, Gursoy R, Varoglu E et al (2004) 99mTc-MDP bone SPECT in evaluation of the knee in asymptomatic soccer players. Br J Sports Med 38(1):15–18

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Yngve DA (1988) Stress fractures in the pediatric athlete. In: Sullivan JA, Grana WA (eds) The pediatric athlete. American Academy of Orthopedic Surgeons, Park Ridge, p 235

    Google Scholar 

  • Zwas ST, Elkanovitch R, Frank G (1987) Interpretation and classification of bone scintigraphic findings in stress fractures. J Nucl Med 28(4):452–457

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Concord Nuclear Imaging, 4 Hospital Road, Concord West, Sydney, NSW, 2138, Australia

    Hans Van der Wall MBBS, PhD, FRACP & Michael Magee MBBS, FRACP

  2. School of Medicine, University of Notre Dame, Sydney, NSW, Australia

    Manuel Cusi MBBS, FACSP

  3. Discipline of Imaging, University of Sydney, Sydney, NSW, Australia

    Robert Mansberg FRACP, FAANMS

  4. Nuclear Medicine Research Foundation & University of Sydney, Sydney, NSW, Australia

    Clayton Frater PhD, ANMT, BHSM

  5. Departments of Nuclear Medicine, Guys and St. Thomas’ Hospital, London, UK

    Ignac Fogelman MD, FRCP

Authors
  1. Hans Van der Wall MBBS, PhD, FRACP
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  2. Manuel Cusi MBBS, FACSP
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  3. Michael Magee MBBS, FRACP
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  4. Robert Mansberg FRACP, FAANMS
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  5. Clayton Frater PhD, ANMT, BHSM
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  6. Ignac Fogelman MD, FRCP
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Corresponding author

Correspondence to Hans Van der Wall MBBS, PhD, FRACP .

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Editors and Affiliations

  1. Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

    Andor W.J.M. Glaudemans

  2. Department of Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

    Rudi A.J.O. Dierckx

  3. Department of Radiology, Antwerp University Hospital, Edegem, Belgium

    Jan L.M.A. Gielen

  4. Exercise and Health, Center for Sports Medicine, University Center for Sport, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

    Johannes (Hans) Zwerver

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Van der Wall, H., Cusi, M., Magee, M., Mansberg, R., Frater, C., Fogelman, I. (2015). Overview of the Role of Bone Scintigraphy in the Pathophysiology of Sporting Injuries. In: Glaudemans, A., Dierckx, R., Gielen, J., Zwerver, J. (eds) Nuclear Medicine and Radiologic Imaging in Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46491-5_6

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  • DOI: https://doi.org/10.1007/978-3-662-46491-5_6

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