Best Practice Case Studies-Case 113 Asset 5 Stress Fracture Radiology

Video Transcription

Video Summary

Brian Kim (UC Irvine Sports Medicine) reviews common adult stress fractures and key radiographic signs. Stress fractures result from abnormal load on normal bone; insufficiency fractures from normal load on abnormal bone. Obtain at least AP and lateral views; multiple views help confirm findings and avoid artifact. Tibial stress fractures may show cortical thickening and lucency; the anterior tibial “dreaded black line” is high risk and requires strict non–weight-bearing and sometimes surgery. Metatarsal stress fractures often show periosteal “cotton candy” reaction; MRI helps when proximal fractures are obscured or multiple fractures exist. Femoral neck stress fractures can be subtle; MRI is often needed. Distinguish compression- vs tension-sided (higher risk, refer).

Meta Tag

Edition 4th Edition

Related Case 4th Edition, Case 3

Topic Ankle

Keywords

4th Edition

4th Edition, Case 3

Ankle

adult stress fractures

radiographic signs AP and lateral views

anterior tibial dreaded black line

metatarsal periosteal cotton candy reaction

femoral neck compression vs tension sided stress fracture