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Beeper Bump

Singing River Hospital Pascagoula, MS 39581
University of South Alabama Medical Center Mobile, AL 36617

A 55-year-old man complained to his internist of pain over the lateral aspect of his left iliac crest. A ^99mTc methylene diphosphate bone scan showed increased activity in this area (Figs. 3A and 3B) although no corresponding bone or soft-tissue abnormality could be detected on radiographs (Fig. 3C). Seeing the patient dressed for work, the physician noticed that a beeper was belt-mounted directly over the point of pain and increased radionuclide uptake. He recommended that the beeper be relocated. At follow-up 13 months later, the pain was gone, and the repeat bone scan showed almost total resolution of the previous area of increased activity.

View larger version (50K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3A. —55-year-old man with painful point on left iliac crest. Focal area (arrows) of increased activity at midpoint of left iliac crest is seen on 99mTc methylene diphosphate bone scan.

View larger version (119K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3B. —55-year-old man with painful point on left iliac crest. Radiograph of symptomatic area shows no abnormality.

View larger version (69K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3C. —55-year-old man with painful point on left iliac crest. Follow-up 99mTc methylene diphosphate bone scan obtained 13 months later in now asymptomatic patient shows virtually complete resolution of previous focus of increased activity.

We posit that the pain resulted from the intermittent or constant pressure of the beeper against the insertion of the external oblique muscle at the iliac crest, thus producing tendinitis, peritendinitis, or bursitis somewhat similar to that produced in the "pump bump" seen in Haglund's disease [1].

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1. Pavlov H, Henegan MA, Hersh A, Goldman AB, Vigorita V. The Haglund syndrome: initial and differential diagnosis. Radiology1982; 144:83 –88[Abstract/Free Full Text]

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This Article Figures Only Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Polchow, T. N. Articles by Brogdon, B. G. Search for Related Content PubMed PubMed Citation Articles by Polchow, T. N. Articles by Brogdon, B. G. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?