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Indian J Nucl Med. 2019 Jul-Sep;34(3):251-253. doi: 10.4103/ijnm.IJNM_68_19.

Tc-99m HDP Single Photon Emission Computed Tomography/Computed Tomography in Stress Fracture of Base of Metatarsal Bone.

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Department of Nuclear Medicine, Kuwait Cancer Control Center, Khaitan, Kuwait.
Department of Nuclear Medicine, Jaber Al-Ahmad Molecular Imaging Center, Shuwaikh, Kuwait.


Proximal metatarsal stress fractures are common at base of the second metatarsal, typically seen in repetitive impact athletes, dancers, and those with cavus feet. It is caused by increased bone resorption rather than formation in a state of abrupt increased physical activity or intensity, leading to repetitive microfractures and eventually stress fracture. It is characterized by swelling and tenderness of a prolonged duration. We report a case of a 40-year-old female having left foot pain diagnosed with stress fracture on Tc-99m HDP single-photon emission computed tomography (SPECT)-CT. We emphasize the use of SPECT/CT in allocating active source of pain in the feet.


Foot pain; Tc-99m HDP single-photon emission computed tomography-computed tomography; stress fracture

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