Imaging of Insufficiency Fractures

Krestan, Christian; Nemec, Ursula; Nemec, Stefan F.

doi:10.1007/174_2012_613

Cited by 7 publications

(14 citation statements)

References 38 publications

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“…However, CT could depict subtle fracture lines allowing direct visualization of cortical and trabecular bone. MRI is a very sensitive tool to visualize bone marrow abnormalities associated with insufficiency fractures, and could help distinguish between benign and malignant fractures [13].…”

Section: Discussionmentioning

confidence: 99%

Successful treatment for bilateral femoral neck insufficiency fractures: a rare lesion case report and an updated review of the literature

Tan

Lei

et al. 2020

BMC Musculoskelet Disord

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Background: The incidence of insufficiency fracture (IF) at femoral neck is low, accounting for about 5% of all insufficiency fractures, and IF at bilateral femoral neck is less common with more occurrence in athlete or serviceman. With the aging of populations, more cases of bilateral femoral neck IF have occurred recently, while the standard clinical treatment still remains lacking due to the complexity of these patients. Case presentation: A 55-year-old male patient complained pain in his bilateral hip, with no history of trauma, glucocorticoid hormone consumption or radiotherapy, and imaging examination revealed fracture nonunion and shortening in his left femoral neck, and double fracture line on the right femoral neck. The patient received a cementless THA for the left femoral neck fracture and conservative treatment for the right side, followed by Elcatonin injection and oral administration of Carbonate D3 Granules. After 4 months of fellow-up, the patient presented improved functional scorings in bilateral hip joints, with no signs of prothesis infection or loosening. Conclusion: We present a rare case of bilateral femoral neck IF in a middle-aged male and the treatment is successful. The timely CT and MRI examinations of bilateral hip joints for patients was necessary for orthopedists to select proper therapeutic regimen. In addition, the choice for therapeutic regimen of bilateral femoral IF should not only be based on the professional judgement of orthopedists, but also on the wishes of patients.

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Section: Discussionmentioning

confidence: 99%

Successful treatment for bilateral femoral neck insufficiency fractures: a rare lesion case report and an updated review of the literature

Tan

Lei

et al. 2020

BMC Musculoskelet Disord

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“…The main site for SF the sacrum (29.6%), the tibia (16,5%), the femur (9.9%), the metatarsus and the calcaneus [2,8]. In most patients, FF cannot be diagnosed only on the basis of clinical findings although a detailed history and careful clinical examination can orient to the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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

Khy

Wyssa

Bianchi

2012

Journal of Ultrasound

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KEYWORDSFatigue fracture; Sonography; Ultrasound; Stress fracture.Abstract We report the case of a 35 years old patient presenting with bilateral pain in the medial aspect of both knees. Ultrasound examination revealed hyperechoic appearance of the subcutaneous tissue and periarticular soft tissue bilateral. Color Doppler studies showed significant vascular signals at the surface of the tibial plateaux. US appearance, together with clinical findings, suggested a diagnosis of simultaneous bilateral fatigue fracture. An MRI confirmed the diagnosis and the patient's symptoms resolved with rest. US may be a useful imaging tool in the diagnosis of stress fracture.Sommario Presentiamo il caso di un paziente di 35 anni con dolore bilaterale nella parte mediale delle ginocchia. L'ecografia evidenziava ipoecogenicità del tessuto sottocutaneo e delle parti molli periarticolari bilateralmente. L'esame con color Doppler mostrava significativi segnali vascolari in corrispondenza del piatto tibiale. L'aspetto ecografico, associato ai segni clinici, suggeriva la diagnosi di simultanea frattura da fatica, bilaterale. La risonanza magnetica confermava la diagnosi e i sintomi del paziente regredivano con il riposo. L'ecografia può essere un'utile metodica nella diagnosi frattura da stress. ª

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“…While bone scan (Spyridonidis et al 2014 ;Krestan et al 2011 ) and MRI are established diagnostic tools (Sijbrandij et al 2002 ), the sensitivity and specifi city for SPECT/CT will have to be determined fi rst. However, a more prominent role of SPECT/CT in the future is likely, since this modality combines the advantages of bone scintigraphy which shows metabolic activity, and CT may show osteopenia, the earliest fi nding in early stress fracture (Gaeta et al 2005 ;Mohan et al 2010 ) (Fig.…”

Section: Stress Fracture Smentioning

confidence: 99%