1/42. Clinics in diagnostic imaging (40). iliotibial band syndrome.A 51-year-old male cyclist presented with a mass over the lateral portion of his knee. MR scans showed a cystic collection deep to the iliotibial band (ITB). diagnosis of the ITB syndrome and its differentiation from other cause of painful lateral knee masses, such as meniscal cyst, lateral collateral ligament injury and Segond fracture, are discussed.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
2/42. Stress fracture of the hook of the hamate.Fractures of the hook of the hamate have rarely been reported. They have usually resulted from blunt trauma or a sharp strike against the hamate hook while swinging a golf club, baseball bat, or tennis racquet. patients present with acute onset of pain localised over the ulnar aspect of the wrist and reduction in grip strength. In the case reported here, the patient complained of gradual onset of pain on the ulnar aspect of the wrist after altering his grip for serving in tennis. Once the diagnosis was made, the fracture was treated conservatively and the patient made a complete recovery.- - - - - - - - - - ranking = 5keywords = fracture (Clic here for more details about this article) |
3/42. Longitudinal tibial fatigue fracture: an uncommon stress fracture with characteristic features.PURPOSE: The author reports three cases of longitudinal tibial fatigue fractures, reviews the literature, and discusses characteristic features that suggest the diagnosis may be made by bone scintigraphy. methods: Radiographs and two- or three-phase bone scintigraphs with Tc-99m MDP were obtained in three runners who had exercise-related leg pain and whose clinical symptoms suggested either stress fractures or shin splints. The literature was reviewed and previously reported scintigraphic findings were compared with those seen in these three cases. RESULTS: In contrast to the focal, elliptical, cortex-based abnormal activity usually seen in the upper or middle tibia in patients with tibial stress fractures, all three patients had a long area of abnormal diffusely increased tibial activity that extended from the tibiotalar region proximally. This finding was seen on the 3-hour delayed static images of all three patients and was suggested on the blood-pool (tissue phase) images. The literature also contained reports of these same scan characteristics. Radiographs subsequently disclosed a longitudinal tibial stress fracture in one patient, computed tomography was positive in the second patient, and findings of clinical follow-up and radiographs were consistent with this diagnosis in the third patient. CONCLUSION: In the appropriate clinical setting and with normal or nondiagnostic radiographs, the presence of a long area of diffusely increased activity in the distal tibia extending proximally from the tibiotalar junction is indicative of a longitudinal fatigue fracture.- - - - - - - - - - ranking = 13keywords = fracture (Clic here for more details about this article) |
4/42. Overuse injuries of the olecranon in adolescents.Overuse injuries are common in elite adolescent athletes due to intensive training demands. Overuse injuries of the olecranon have been divided into true stress fractures and osteochondroses. This article presents a third overuse injury, painful intraosseous edema, in elite adolescent athletes.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
5/42. Stress fracture of the second metacarpal bone.Stress fractures are usually encountered in athletes; however, only eight such cases involving the metacarpal bones have been reported in the English literature. We report on the rare case of a 15-year-old female tennis player with a stress fracture of the second metacarpal bone.- - - - - - - - - - ranking = 6keywords = fracture (Clic here for more details about this article) |
6/42. Femoral neck stress fracture in a sanitary worker.Stress fractures of the femoral neck are uncommon, it is important to have a high index of suspicion in young active people who perform repetitive vigorous activity or have recently had an increase in frequency of such activity. We report a case of femoral neck stress fracture in a sanitary worker which was treated successfully with a dynamic hip screw.- - - - - - - - - - ranking = 6keywords = fracture (Clic here for more details about this article) |
7/42. Stress fracture of the olecranon in an adult baseball player.Stress fractures of the olecranon caused by repetitive stress force have infrequently been reported as a cause of elbow pain in adult athletes, engaged in throwing and pitching sports. We diagnosed as a stress fracture of the olecranon by clinical and radiographic findings and treated surgically. The patient returned to playing baseball at a competitive level and was asymptomatic 4 months after the first operation. However, the patient re-injured the olecranon and a second surgical treatment was performed almost 1 year after the first operation. After the second surgery, the patient returned to playing baseball at a competitive level and was free from elbow symptoms. We presented a stress fracture of the olecranon in a semi-professional adult baseball player and suggested that surgical treatment is necessary.- - - - - - - - - - ranking = 7keywords = fracture (Clic here for more details about this article) |
8/42. An unusual stress fracture in a multiple sport athlete.Most overuse injuries are a direct result of repetitive stresses which may create a condition of maltraining. Young athletes are no exception to this rule. swimming and baseball both create stresses to the humerus which may result in injuries to the shoulder and upper extremity. Stress fractures (fatigue fractures) are usually limited to the lower extremity (i.e., tibia or metatarsal). upper extremity stress fractures, especially of the humerus, are very uncommon. precipitating factors include repetitive stresses, low grade external forces, rapid application of muscular force to the bone, or an underlying disease or pathologic weakness of the bone. The majority of these fractures are primarily due to abnormal and repetitive stresses to bones. This case study examines the mechanism of injury, clinical presentation, and treatment of a clinically apparent stress fracture which ultimately converted to an overt humerus fracture in a 14-yr-old cross-trained athlete.- - - - - - - - - - ranking = 10keywords = fracture (Clic here for more details about this article) |
9/42. Stress fracture of the clavicle leading to nonunion secondary to coracoclavicular reconstruction with Dacron.We have reported the case of a nonunion of a clavicle fracture in which the Dacron had eroded the bone and acted as a stress riser contributing to the fracture. The Dacron then became interposed in the fracture site preventing union.- - - - - - - - - - ranking = 7keywords = fracture (Clic here for more details about this article) |
10/42. Stress fracture of the finger in a bowler.A 28-year-old semiprofessional bowler was seen initially with pain in the right ring finger that was aggravated by bowling and relieved by rest. He had localized tenderness of the middle phalanx; x-ray films revealed a stress fracture. The fracture healed with restriction of activity and he was able to gradually resume bowling. Although rare, stress fracture should be considered in the differential diagnosis of finger pain in a patient with a history of overuse.- - - - - - - - - - ranking = 7keywords = fracture (Clic here for more details about this article) |
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