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Volume 64, Number 5, September 2012

Tibial Stress Fracture: A Diagnostic Pitfall
Jiraporn Sriprapaporn, M.D.
Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.


The author reports a young police cadet with a history of heavy running about 10 km per day for a few months, presenting with left shin pain especially during exercise. His first plain radiograph was not helpful and his MRI findings favored an infective or neoplastic process. However, three-phase bone scintigraphy suggested a stress fracture resulting in avoidance of a dispensable biopsy procedure.

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