Best Practice Case Studies-Bone Stress Injuries

Video Transcription

Video Summary

In this sports ultrasound case series, fellows from Stanford, Ann Kuwabara, Cameron Fawcett, and Jessica Sal discuss the sonographic evaluation of medial tibial stress syndrome (MTSS), focusing on a case of an 18-year-old female cross-country runner with shin pain. Bone stress injuries, often seen in athletes, result from imbalanced bone damage and repair. Key risk factors include gender, ethnicity, prior injuries, and increased activity.<br /><br />Ultrasound, a non-invasive, cost-effective tool, can visualize injuries dynamically without radiation. However, while it reveals soft tissue edema and bone irregularities, it cannot assess deeper structures like MRI. The case involved a Grade 3 tibial stress injury confirmed by MRI, treated with non-weight-bearing protocols and nutritional intervention.<br /><br />Ultrasound shows potential in earlier detection and monitoring of stress injuries, with findings like periosteal edema and hypervascularity suggesting early-stage injuries. Discussion on the utility of ultrasound touched on its ability to distinguish normal from abnormal cases and its role in identifying stress injuries despite its limitations compared to MRI. The session concluded with insights into optimizing ultrasound use, future research, and the technique's growing role as a diagnostic tool.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 18

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Keywords

3rd Edition, CASE 18

3rd Edition

Foot

medial tibial stress syndrome

ultrasound

bone stress injuries

cross-country runner

tibial stress injury

sonographic evaluation

non-invasive imaging

stress injury detection