Stress fractures in children Jerzy Sułko , Artur Oberc Ortop Traumatol Rehabil 2012; 14(6):545-553 ICID: 1024719
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
Objectives 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. Methods 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. Results Complete healing of fractures was finally achieved in all patients Conclusions : 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 stress fracture nonweight-bearing of the affected extremity is recommended as well as introducing of close clinical-radiological monitoring.
DOI 10.5604/15093492.1024719 PMID 23382282 - click here to show this article in PubMed