| ORIGINAL ARTICLE |
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| Year : 2015 | Volume
: 15
| Issue : 2 | Page : 176-180 |
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Technetium-99m methylene diphosphonate bone scan in the evaluation of bonyache after performing Hajj and/or Umra
Saleh A Othman
Department of Radiology and Medical Imaging, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia
Correspondence Address:
Saleh A Othman
Department of Radiology and Medical Imaging, King Khalid University Hospital, King Saud University, P.O. Box: 7805(46), Riyadh 11472
Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1319-6308.156365
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Background: During Hajj and Umra the pilgrim will be exposed to tense exercise he/she may not be used to in daily life. This may lead to several musculoskeletal injuries often revealed by clinical and radiological examination however, in some patients further investigations such as bone scan may be required. Aims: The aim of this report is to highlight the potential value of bone scan in the work up of pilgrims with bony ache developed after performing Hajj and/or Umra and in whom routine clinical and radiological examination failed to reveal the cause of their symptoms. Materials and Methods: Twenty three Saudi patients, 18 females with age range 28-70 years (mean = 58 years) and 5 male patients with age range 36-75 years (mean = 49 years) were included in the study. All patients were referred for bone scan within 1-month after performing Hajj and/or Umra. Three phase bone scan is the standard procedure to be performed. The procedure is performed using 700 MBq (20 mCi) technetium-99m methylene diphosphonate and a dual head gamma camera (Bright view from Phillips) equipped with low energy general purpose collimator. Results: Different patterns of bone scan were identified for each type of injury. Seventeen patients (14 females and 3 males) had positive bone scan (74%) and bone scan was negative in 4 female and 2 male patients (26%). Conclusion: The percentage yield of bone scan in evaluating the Muslim pilgrim with bony ache after performing Hajj and/or Umra is quiet high and thus bone scan can be recommended in the work up of those patients in whom clinical and radiologic examination failed to reveal the cause of their symptoms. Dual energy X-ray absorptiometry scan is also advised in patients with suspected insufficiency and stress fractures. |
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