16-Detector multislice CT in the detection of stress fractures: a comparison with skeletal scintigraphy

Diagnosis and management of bone stress injuries of the lower limb in athletes

“…However, plain radiographs often appear normal despite clinical symptoms and signs suggestive of stress fracture for three months or more after symptom onset. 26 …”

Nuclear Medicine Imaging of Lower Leg Injuries

“…Presently, there are no published prospective studies examining tomographic SPECT/CT for evaluation of stress fractures in the lower leg. Groves et al ( 2005 ) compared CT with bone scanning and found the detection rate of CT much less than scintigraphy. Interestingly, these authors pointed to the potential use of quantifi cation at fracture sites.…”

Stress Fracture / Stress Reaction of the Lower Leg and Foot

“…However, CT should not be used as a routine initial investigation in stress fracture detection given its lower sensitivity (even using newer multidetector CT) compared with bone scans and MRI (Gaeta et al 2005;Groves et al 2005). Instead its use is reserved for specific indications such as differentiating those conditions with increased uptake on bone scan that may mimic stress fracture.…”