AUTHOR=Dambrain Abel , Bouron Clément , Lacoeuille Franck TITLE=Case Report: The role of bone scans in detecting Ribbing disease JOURNAL=Frontiers in Nuclear Medicine VOLUME=Volume 5 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/nuclear-medicine/articles/10.3389/fnume.2025.1527159 DOI=10.3389/fnume.2025.1527159 ISSN=2673-8880 ABSTRACT=In this case, we report the usefulness of bone scintigraphy in evaluating osteoarticular pain when the diagnosis is unclear after standard morphological imaging. A 24-year-old male patient exhibited mild left tibial pain that had been intensifying over a period of 2 years. The initial radiological evaluation suggested a diagnosis of pediatric tibial bone marrow osteosclerosis associated with periostitis, based on standard radiographs and MRI. However, a complementary bone scan was required for confirmation and showed moderate hyperemia and severe hyperfixation of the tibial lesion along with similar lesions on the left femur, both humeri, and the right ulna. These new findings led to a diagnosis of Ribbing disease, a rare sclerosing bone dysplasia.