Bilateral stress fracture of the tibia diagnosed by ultrasound. A case report

Khy, Visithan; Wyssa, Blaise Jean Albert; Bianchi, Stefano

doi:10.1016/j.jus.2011.09.002

Cited by 23 publications

(27 citation statements)

References 17 publications

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“…An MRI confirmed the diagnosis and the patient's symptoms resolved with rest. They reported USG may be a useful imaging tool in the diagnosis of stress fracture 13 . In our case we did not performed USG to our patient.…”

Section: Discussionmentioning

confidence: 68%

An unusual stress fracture: Bilateral posterior longitudinal stress fracture of tibia

Malkoç

Korkmaz

Örmeci̇

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONStress fractures (SF) occur when healthy bone is subjected to cyclic loading, which the normal carrying range capacity is exceeded. Usually, stress fractures occur at the metatarsal bones, calcaneus, proximal or distal tibia and tends to be unilateral.PRESENTATION OF CASEThis article presents a 58-year-old male patient with bilateral posterior longitudinal tibial stress fractures. A 58 years old male suffering for persistent left calf pain and decreased walking distance for last one month and after imaging studies posterior longitudinal tibial stress fracture was detected on his left tibia. After six months the patient was admitted to our clinic with the same type of complaints in his right leg. All imaging modalities and blood counts were performed and as a result longitudinal posterior tibial stress fractures were detected on his right tibia.DISCUSSIONTreatment of tibial stress fracture includes rest and modified activity, followed by a graded return to activity commensurate with bony healing. We have applied the same treatment protocol and our results were acceptable but our follow up time short for this reason our study is restricted for separate stress fractures of the posterior tibia.CONCLUSIONAlthough the main localization of tibial stress fractures were unilateral, anterior and transverse pattern, rarely, like in our case, the unusual bilateral posterior localization and longitudinal pattern can be seen.

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Section: Discussionmentioning

confidence: 68%

An unusual stress fracture: Bilateral posterior longitudinal stress fracture of tibia

Malkoç

Korkmaz

Örmeci̇

et al. 2014

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…The potential diagnostic accuracy of using US for bone stress injury detection has remained a topic of scientific interest . In 2008, a double‐blind study by Farkash compared the diagnostic accuracy of US with a linear transducer (range, 5.5–12.0 MHz) to bone scintigraphy using 25‐mCi technetium Tc 99m methylene diphosphonate.…”

Section: Historical Review Of Imaging Modalities Used In the Diagnosimentioning

confidence: 99%

“…Similar to MRI, US shows the early phase soft tissue findings of bone stress injuries (grade 1 injury revealed by MRI), as well as cortical fracture (grade 4 injury revealed by MRI). Cortical fracture may be seen on US, as evidenced by a cortical disruption or breakage, especially in long bones, a small fluid collection, soft tissue edema, or local vessel disruption …”

Section: Anatomic Findings On Imagingmentioning

confidence: 99%

A Review and Proposed Rationale for the use of Ultrasonography as a Diagnostic Modality in the Identification of Bone Stress Injuries

Fukushima

Ray

Kraus

et al. 2018

J of Ultrasound Medicine

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Bone stress injuries are common in military personnel and athletes. The delayed diagnosis of a bone stress injury can lead to a more severe injury that requires a longer period of treatment. The early detection of bone stress injuries is a central part of management. Currently, the reference standard for detecting bone stress injuries is magnetic resonance imaging. However, the expanding use of point-of-care ultrasonography (US) may enable the early detection of bone stress injuries in the clinical setting. In this article, we review the US detection of bone stress injuries, as well as discuss the rationale for the use of US in the diagnosis of these injuries.

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“…The normal periosteum, depending on its thickness, can sometime difficult to assess by sonography. Due to its tomographic capabilities, sonography can show acute fractures that are difficult to image on radiography and can show a variety of stress fractures . A recent study on sonographic and radiographic capabilities in the early detection of metatarsal stress fractures showed that sonography had sensitivity of 83% and specificity of 76% (correlated with MRI) and that sonography was more sensitive than standard radiography for this purpose …”

Section: Discussionmentioning

confidence: 99%

Stress Fractures of the Calcaneus Diagnosed by Sonography: Report of 8 Cases

Bianchi¹,

Luong²

2017

J of Ultrasound Medicine

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We present a retrospective review of 8 patients (6 women and 2 men, with an age range of 46-80 years; mean age, 60.2 years) in whom sonography was used to diagnose a calcaneal stress fracture. Sonography was performed because of a clinical suspicion of soft tissue injuries. Two patients were first assessed by standard radiography; for the remaining patients, sonography was the first imaging technique used. Patients were subsequently examined by magnetic resonance imaging, except for 1 patient in whom the diagnosis was made only on a clinical-sonographic correlation. On sonography, there was thickening of the periosteum and subcutaneous edema in all patients; a calcified bone callus was evident in none of the 8 patients. Cortical irregularities were found in 6 of 8 patients. Color Doppler imaging showed local hypervascular changes of the periosteum in all patients. Sonography, together with clinical findings, can be used to diagnose a calcaneal stress fracture. We suggest that sonologists should include a calcaneal stress fracture in their differential diagnosis in cases of mechanical hind foot pain. They must also include, as a part of every sonographic examination of the ankle, an examination of the calcaneus and be aware of the sonographic appearance of stress fractures. If the diagnosis is still uncertain after the sonographic examination, magnetic resonance imaging should be prescribed.

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Bilateral stress fracture of the tibia diagnosed by ultrasound. A case report

Cited by 23 publications

References 17 publications

An unusual stress fracture: Bilateral posterior longitudinal stress fracture of tibia

An unusual stress fracture: Bilateral posterior longitudinal stress fracture of tibia

A Review and Proposed Rationale for the use of Ultrasonography as a Diagnostic Modality in the Identification of Bone Stress Injuries

Stress Fractures of the Calcaneus Diagnosed by Sonography: Report of 8 Cases

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