Cases reported "Fractures, Stress"

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1/357. Femoral neck stress fracture presenting as gluteal pain in a marathon runner: case report.

    A case is described of a 50-year-old man with a femoral neck stress fracture presenting as gluteal pain. An operative pinning procedure of the femoral neck was performed for stabilization. Femoral neck stress fractures are often misdiagnosed early in their presentation. The signs and symptoms can mimic those of more commonly seen disorders. Appropriate physiatric history and physical examination, along with indicated studies, will help prevent misdiagnosis and potentially serious complications associated with musculoskeletal pathology. ( info)

2/357. Unusual longitudinal stress fractures of the femoral diaphysis: report of five cases.

    We present five cases of a distinctive type of longitudinal stress fracture of the upper femoral shaft in which the fracture line is parallel to the outer surface of the bone, in contrast to the perpendicular orientation to the cortical surface in previously reported cases of diaphyseal stress fractures. In two cases the fracture recurred after 15 and 18 months, respectively. ( info)

3/357. Decline in bone mineral density with stress fractures in a woman on depot medroxyprogesterone acetate. A case report.

    BACKGROUND: Depot medroxyprogesterone acetate is a popular contraceptive among young, physically active women. However, its administration has been linked to a relative decrease in estrogen levels. Since bone resorption is accelerated during hypoestrogenic states, there has been growing concern about the potential development of osteoporosis and fractures with the use of this contraceptive method. CASE: A physically active, 33-year-old woman demonstrated a 12.4% drop in femoral neck bone mineral density (BMD), 6.4% drop in lumbar BMD and 0.8% drop in total BMD with the subsequent development of a tibial stress fracture while on depot medroxyprogesterone acetate. Bone mineralization rapidly improved, and the stress fracture resolved with discontinuation of the medication. CONCLUSION: The long-term effects of depot medroxyprogesterone acetate on bone mineralization in physically active women should be evaluated more thoroughly. ( info)

4/357. Patellar stress fracture: a complication of knee joint arthroplasty without patellar resurfacing.

    A case of patellar stress fracture after total knee arthroplasty in a man with gout and previous osteonecrosis of the tali is reported. The combination of fat pad excision and lateral release causing disruption to the patellar blood supply during primary total knee arthroplasty resulted in the development of a patellar fracture. Avascular necrosis, caused by gout, may form part of the pathogenesis. ( info)

5/357. Fracture of the sternum--an unusual case.

    Stress fracture of the sternum is a rare injury and can occur in young athletes due to repeated stress and in elderly with osteoporotic bones or other pathological conditions under normal stress. A case of a 14-year-old boy is reported who sustained fracture of the sternum without any history of significant trauma when he simply tried to lift his whole body over his arms and felt pain in front of the chest. ( info)

6/357. An unusual extraspinal cause of bilateral leg pain.

    low back pain with pain radiating to the lower extremities is common in patients referred to a spine center. Lumbar spine pathology is commonly the etiology of such symptoms, but extraspinal causes of back and leg pain can manifest as a radicular disorder. Extraspinal etiologies must be considered in the workup of back and leg pain. This report describes an unusual case of spontaneously occurring bilateral femoral neck stress fractures presenting as low back pain with seemingly bilateral L4 radicular symptoms. ( info)

7/357. Posterior tibial stress fracture: a report of three cases.

    OBJECTIVE: To discuss the specific clinical and radiographic features of posterior tibial stress fracture, as well as appropriate clinical management, including imaging and treatment, in the presence of suspected or confirmed tibial stress fracture. CLINICAL FEATURES: Three patients suffered from exercise-related lower leg pain, clinical features, and risk factors specific for posterior tibial stress fracture. diagnosis was confirmed for all three individuals by radiographic imaging. INTERVENTION AND OUTCOME: Treatment included rest and modified activity, followed by a graded return to activity commensurate with bony healing. This approach was successful for two of the individuals diagnosed with posterior tibial stress fracture. In the third individual treatment recommendations were not adhered to, resulting in three separate stress fractures of the posterior tibia over 27 months. CONCLUSION: Stress fractures may go undiagnosed for a long period of time; therefore a high index of suspicion, along with knowledge of its clinical and predisposing factors, is necessary for recognition. Inappropriate management of individuals with tibial stress fracture may result in recurrence or frank fracture. Chiropractors have a role in the prevention of stress fractures by identifying and educating patients at risk for this condition. ( info)

8/357. Transverse stress fracture of the patella in a child.

    Transverse stress fracture of the patella in a child is an exceptional injury in childhood. Only one case has been previously reported. The present study reports a new case of a 12-year-old boy with anterior knee pain misdiagnosed for 5 months as Sinding-Larsen-Johansson disease who developed sudden anterior right knee pain and pop while running in a soccer match. Surgery was performed. The evolution was favorable without any immobilization required and the patient achieved full recovery. ( info)

9/357. Stress fracture of the proximal fibula in a young soccer player: a case report and a review of the literature.

    A 14-yr-old soccer player complained of a history of leg pain with activity that had been present for several weeks. There was no history of direct trauma. Tenderness was found over the lateral aspect of the leg, and radiographs showed an area of calcification along the shaft of the proximal fibula. Because of the unusual location of the findings and to exclude a tumor, magnetic resonance imaging (MRI) was obtained which confirmed the diagnosis of a proximal fibular stress fracture. The patient returned to full sport participation with a period of relative rest, splinting, and strengthening and flexibility training. This case describes an injury that has not been reported in young athletes and only rarely described in active adults. The literature regarding this injury is reviewed, and two injury patterns of proximal fibular stress fractures are described. ( info)

10/357. magnetic resonance imaging evaluation of heel pain.

    magnetic resonance imaging is superior to radiographic and scintigraphic examination for pathologic evaluation of the musculoskeletal system. magnetic resonance imaging demonstrates increased sensitivity and specificity compared with radiographic evaluation, and equal sensitivity and increased specificity compared with scintigraphic examination. Two case studies of magnetic resonance imaging evaluation of heel pain involving a calcaneal stress fracture and a capillary hemangioma are presented. ( info)
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