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The Journal of Nuclear Medicine Vol. 38 No. 2 247-249
© 1997 by Society of Nuclear Medicine
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Scintigraphy of Posterior Tibial Tendinitis

David Groshar, Aharon Liberson, Michael Alperson, David G. Mendes, Michael Rozenbaum and Itzhak Rosner

Departments of Nuclear Medicine, Orthopedics and Rheumatology, Bnai Zion Medical Center
Faculty of Medicine, Technion-Institute of Technology, Haifa, Israel

Correspondence: For correspondence or reprints contact: David Groshar, MD, Department of Nuclear Medicine, Bnai Zion Medical Center, POB 4940, Haifa, Israel 31048.

ABSTRACT

Our goal was to describe the typical scintigraphic pattern of posterior tibial tendinitis. Methods: Bone scintigraphs were reviewed to study the scintigraphic characteristics of posterior tibial tendinitis in nine patients with posterior tibial tendinitis related to generalized rheumatic disease and in eight patients with isolated posterior tibial tendinitis. Results: The scintigraphic pattern of posterior tibial tendinitis is elongated increased uptake in the blood flow and blood-pool phase along the anatomical course of the tibialis posterior tendon at the medial aspect of the ankle (malleolus region). Static images demonstrate increased focal abnormal uptake at the medial malleolus and in the navicular bone. Conclusion: Bone scintigraphy depicts a characteristic pattern of posterior tibial tendinitis. It is useful for the early diagnosis of idiopathic- or rheumatic-related posterior tibial tendinitis.

Key Words: posterior tibial tendinitis • bone scintigraphy







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Copyright © 1997 by the Society of Nuclear Medicine.