employee
Moscow, Russian Federation
employee
Moscow, Russian Federation
employee
Russian Federation
employee
Russian Federation
employee
Moscow, Russian Federation
employee
Moscow, Russian Federation
GRNTI 76.03 Медико-биологические дисциплины
GRNTI 76.33 Гигиена и эпидемиология
OKSO 14.04.02 Ядерные физика и технологии
OKSO 31.06.2001 Клиническая медицина
OKSO 31.08.08 Радиология
OKSO 32.08.12 Эпидемиология
BBK 51 Социальная гигиена и организация здравоохранения. Гигиена. Эпидемиология
BBK 534 Общая диагностика
TBK 5708 Гигиена и санитария. Эпидемиология. Медицинская экология
TBK 5712 Медицинская биология. Гистология
TBK 5734 Медицинская радиология и рентгенология
TBK 6212 Радиоактивные элементы и изотопы. Радиохимия
This article reveals a clinical case dedicated to a young woman, professional athlete, who made an appointment at NN Blokhin Russian Cancer Research Center for differential diagnostics of left tibia bone lesion, diagnosed by local health facilities. There were no patient complaints during routine check-up. Oncologist made an appointment for bone scan and second opinion on CT scan (was also made). Incidental findings on scintigraphy required further investigation. So a decision to perform a hybrid SPECT/CT of pelvis, MRI of pelvis and left talocrural joint was made. After complete examination non-osteogenic fibroma of left tibia bone was set as diagnose. Also there were several unexpected findings such as stress fracture of the navicular bone of the left foot, prevalent fracture of the left ischium without signs of consolidation and with the formation (developing) of a false joint and heterotopic ossification in soft tissues and ankylosis of the intervertebral joint L5/S1. This findings more likely to be posttraumatic complications.
bone scan, SPECT/CT, MRI, differential diagnosis, sports injury
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