Cases reported "Fractures, Stress"

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1/3. L5 radiculopathy due to sacral stress fracture.

    We report the case of a 70-year-old man who presented with a history of left buttock pain with radiation into the left leg in an L5 distribution. MRI of the lumbar spine revealed a left sacral stress fracture with periosteal reaction involving the left L5 nerve root anterior to the sacral ala. With spontaneous healing of the fracture, the patient's symptoms resolved completely.
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ranking = 1
keywords = nerve
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2/3. Saphenous nerve entrapment caused by pes anserine bursitis mimicking stress fracture of the tibia.

    Numerous studies have addressed saphenous nerve entrapment at the level of the adductor canal. In this case, we report an entrapment syndrome located further distally occurring as part of an athletic overuse injury. Distal tibial pain, initially managed as a stress fracture, resolved when a pes anserine bursitis was treated. This was associated with return of saphenous nerve potentials along the tibia.
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ranking = 6
keywords = nerve
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3/3. Radicular pain after Harrington instrumentation.

    Three patients developed lumbar radicular pain after Harrington instrumentation and posterior spinal fusion for idiopathic scoliosis. They required a second surgical procedure for nerve root decompression. The presenting complaint after the initial procedure was persistent radicular and buttock pain. Subsequent evaluation revealed direct compression by the inferior hook. At surgery the inferior hook was noted to be encased in bone and had imploded into the canal after a stress fracture of the lamina. Removal of the entire Harrington instrumentation resulted in effective relief of nerve root compression and resolution of radicular pain. To avoid this occurrence the addition of a leg extension to a postoperative brace has been instituted for procedures involving instrumentation to L5 and occasionally to L4.
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ranking = 2
keywords = nerve
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