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Three-Phase Radionuclide Bone Imaging in Stress Injury of the Anterior Iliac Crest

Department of Nuclear Medicine, Baptist Hospital East, Memphis, Tennessee

Correspondence: For reprints contact: John F. Rockett, MD, Department of Nuclear Medicine, Baptist Hospital East, 6019 walnut Grove Rd., Memphis, TN, 38120.

ABSTRACT

Two adolescents with stress-related avulsion injury of the anterior iliac crest apophysis are presented. Increased tracer concentration in the anterior iliac crest area is present on the blood-pool and delayed images. Increased iliac crest activity was demonstrated on the radionuclide angiogram in one patient. Scintigraphic detection of this injury is useful when clinical findings are atypical, if objective evidence of a fracture is required, or when the fracture is not readily apparent radiographically.

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				K. J. Hebert, T. Laor, J. G. Divine, K. H. Emery, and E. J. Wall MRI Appearance of Chronic Stress Injury of the Iliac Crest Apophysis in Adolescent Athletes Am. J. Roentgenol., June 1, 2008; 190(6): 1487 - 1491. [Abstract] [Full Text] [PDF]