Radiology Case Reports (Aug 2019)

Multimodality imaging evaluation for iliac crest apophysis avulsion injury

  • Nandan Keshav, MD,
  • Nupur Verma, MD,
  • Manuela Matesan, MD,
  • Fatemeh Behnia, MD,
  • Saeed Elojeimy, MD, PhD

Journal volume & issue
Vol. 14, no. 8
pp. 986 – 988

Abstract

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A young cross-country athlete with left thigh pain, and a recent negative MRI of the left hip was referred to nuclear medicine for bone scan imaging. A 3-phase Tc-99m methylene diphosphonate bone scan was performed and revealed left iliac crest apophysis avulsion. This case illustrates that 3-phase bone scan is a great adjunct in the evaluation of sports injuries especially in athletes presenting with vague nonlocalizing symptoms, and prior negative radiographic or MRI imaging. Keywords: Iliac crest apophysis injury, Bone scan