Open AccessAdductor insertion avulsion syndrome with stress fracture in morbidly obese patient diagnosed on 18F-sodium fluoride positron emission tomography-Computed tomography
Author(s) -
Sharjeel Usmani,
Fahad Marafi,
Fareeda Al Kandari,
Najeeb Ahmed
Publication year - 2019
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/ijnm.ijnm_77_19
Subject(s) - medicine , positron emission tomography , thigh , femur , magnetic resonance imaging , avulsion , positron emission tomography computed tomography , nuclear medicine , radiology , anatomy , surgery
Adductor insertion avulsion syndrome, also known as "thigh splints," is a painful condition affecting the proximal to mid-femur at the insertion of the adductor muscles of the thigh. 18 F-Sodium fluoride ( 18 F-NaF) is increasingly used in diagnosing skeletal pain which is not identified on radiographs. We report a case of a 56-year-old morbidly obese woman with left hip pain referred for 18 F-NaF positron emission tomography-computed tomography (PET-CT) as magnetic resonance imaging cannot be performed due to obesity. 18 F-NaF PET-CT shows an increase in tracer uptake at the posteromedial cortex of the upper shaft of left femur. Findings are likely due to adductor insertion avulsion syndrome. 18 F-NaF provides important diagnostic information that might alter treatment options.