Stress fractures in children

Ortopedia, traumatologia, rehabilitacja
Jerzy Sułko, Artur Oberc

Abstract

Presentation of own experiences, observations and results of treatment of patients with stress fractures treated in the Department of Paediatric Orthopaedics. The authors present an algorithm of diagnosing and treatment of stress fractures. Over the period 1998 - 2010, 38 patients were hospitalised (40 fractures) with the final diagnosis of stress fracture. Personal patients' data, case histories and management preceding the diagnosis of the disease, diagnostic and therapeutic methods, as well as the results of treatment were collected on the basis of medical documentation. Standard diagnostic procedure consisted of: clinical and radiological examination, laboratory tests as well as computed tomography (CT). In 11 cases, the procedure included also scintigraphy and in two children MRI scan was performed. Complete healing of fractures was finally achieved in all patients In case of suspected stress fracture, it is necessary to perform a series of radiograms, which should present the picture of bone rebuilding and incorporation of the periosteal callus. If plain radiograph is inconclusive we should consider MRI , CT or scintigraphy scan. The results of laboratory tests should not show any abnormalities. In case of confirmed stres...Continue Reading

Related Concepts

Child Protective Services
Hypokinesia, Experimental
Leg Bones
Magnetization Transfer Contrast Imaging
Tomography, X-Ray Computerized Axial
Insufficiency Fractures
Fracture Healing
Bone Structure of Lower Limb
Biopsy
Fracture

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