Les fractures de contrainte

Bousson, Valérie; Wybier, M; Petrover, David; Parlier, C; Chicheportiche, Valérie; Hamzé, B.; Sverzut, Jean-Michel; Daguet, E.; Wyler, Armand; Thabet, J. Ben; Bossard, Philippe; Laredo, Jean‐Denis

doi:10.1016/j.jradio.2011.02.001

Cited by 22 publications

(5 citation statements)

References 31 publications

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“…Early US findings (Figures ) at the site of fracture include the following: (1) hyperechoic soft tissue swelling that reflects edema; (2) hypoechoic periosteal thickening that overlies the hyperechoic bone cortex; (3) posterior shadowing related to periosteal thickening, which is only seen in small bones such as the metatarsals; and (4) an increased periosteal Doppler signal, reflecting local hyperemia. Late US findings (Figure ) are irregularity or discontinuity of the bone cortex and calcified bone callus formation …”

Section: Disorders Of the Periosteum In Adultsmentioning

confidence: 99%

“…Late US findings (Figure 16) are irregularity or discontinuity of the bone cortex and calcified bone callus formation. [28][29][30][31][32][33] Medial Tibial Stress Syndrome Medial tibial stress syndrome, also known as shin splints, is a common cause of exercise-induced pain along the middle to distal posteromedial aspect of the tibia and has an unclear origin. 34 It was originally related to an inflammatory periostitis due to excessive traction by the tibialis posterior and soleus muscles.…”

Section: Disorders Of the Periosteum In Adultsmentioning

confidence: 99%

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Ultrasound Features of the Normal and Pathologic Periosteum

Moraux

Gitto

Bianchi³

2018

J of Ultrasound Medicine

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Thickening and elevation of the periosteum from the underlying bone cortex, defined as a periosteal reaction, can be associated with several bone disorders. Although ultrasound (US) has limited possibilities in assessing bones, it can depict a periosteal reaction earlier than plain radiography, thus indicating underlying bone disorders. This pictorial essay aims to illustrate the normal and pathologic US appearances of the periosteum in both children and adults. Several disorders are discussed, such as pediatric bone trauma, infections and tumors, as well as trauma, overuse, including medial tibial stress syndrome, and finally certain seronegative spondyloarthropathies in adults. Whenever US depicts a periosteal reaction, a correlation with clinical and laboratory data is mandatory to differentiate different bone disorders. Computed tomography or magnetic resonance imaging must be performed when an infection or a tumor is suspected based on both US and the clinical presentation.

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Section: Disorders Of the Periosteum In Adultsmentioning

confidence: 99%

Section: Disorders Of the Periosteum In Adultsmentioning

confidence: 99%

Ultrasound Features of the Normal and Pathologic Periosteum

Moraux

Gitto

Bianchi³

2018

J of Ultrasound Medicine

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“…Stress fractures occur when bones are submitted to repetitive loads . Depending on the attributes of the bone affected, stress fractures can be divided into fatigue and insufficiency stress fractures.…”

Section: Discussionmentioning

confidence: 99%

“…Stress fractures occur when bones are submitted to repetitive loads. 10,11 Depending on the attributes of the bone affected, stress fractures can be divided into fatigue and insufficiency stress fractures. Fatigue stress factors affect a normal bone and are classically seen in elite, professional, or recreational athletes performing longdistance and high-impact leg exercises in their activities.…”

Section: Discussionmentioning

confidence: 99%

Stress Fractures of the Calcaneus Diagnosed by Sonography: Report of 8 Cases

Bianchi¹,

Luong²

2017

J of Ultrasound Medicine

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We present a retrospective review of 8 patients (6 women and 2 men, with an age range of 46-80 years; mean age, 60.2 years) in whom sonography was used to diagnose a calcaneal stress fracture. Sonography was performed because of a clinical suspicion of soft tissue injuries. Two patients were first assessed by standard radiography; for the remaining patients, sonography was the first imaging technique used. Patients were subsequently examined by magnetic resonance imaging, except for 1 patient in whom the diagnosis was made only on a clinical-sonographic correlation. On sonography, there was thickening of the periosteum and subcutaneous edema in all patients; a calcified bone callus was evident in none of the 8 patients. Cortical irregularities were found in 6 of 8 patients. Color Doppler imaging showed local hypervascular changes of the periosteum in all patients. Sonography, together with clinical findings, can be used to diagnose a calcaneal stress fracture. We suggest that sonologists should include a calcaneal stress fracture in their differential diagnosis in cases of mechanical hind foot pain. They must also include, as a part of every sonographic examination of the ankle, an examination of the calcaneus and be aware of the sonographic appearance of stress fractures. If the diagnosis is still uncertain after the sonographic examination, magnetic resonance imaging should be prescribed.

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“…Femoral neck fractures on the craniolateral aspect of the femoral neck are more common in older patients. These fractures are due to distraction; the risk of non-union is higher than for the medial compression fractures although for both types the risk of non-union is relatively high compared with other sites [ 13 , 14 , 16 , 19 ].…”

Section: Special Considerationsmentioning

confidence: 99%

Stress fracture of the pelvis and lower limbs including atypical femoral fractures—a review

Tins¹,

Garton

Cassar‐Pullicino³

et al. 2014

Insights Imaging

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Stress fractures, that is fatigue and insufficiency fractures, of the pelvis and lower limb come in many guises. Most doctors are familiar with typical sacral, tibial or metatarsal stress fractures. However, even common and typical presentations can pose diagnostic difficulties especially early after the onset of clinical symptoms. This article reviews the aetiology and pathophysiology of stress fractures and their reflection in the imaging appearances. The role of varying imaging modalities is laid out and typical findings are demonstrated. Emphasis is given to sometimes less well-appreciated fractures, which might be missed and can have devastating consequences for longer term patient outcomes. In particular, atypical femoral shaft fractures and their relationship to bisphosphonates are discussed. Migrating bone marrow oedema syndrome, transient osteoporosis and spontaneous osteonecrosis are reviewed as manifestations of stress fractures. Radiotherapy-related stress fractures are examined in more detail. An overview of typical sites of stress fractures in the pelvis and lower limbs and their particular clinical relevance concludes this review.Teaching Points• Stress fractures indicate bone fatigue or insufficiency or a combination of these.• Radiographic visibility of stress fractures is delayed by 2 to 3 weeks.• MRI is the most sensitive and specific modality for stress fractures.• Stress fractures are often multiple; the underlying cause should be evaluated.• Infratrochanteric lateral femoral fractures suggest an atypical femoral fracture (AFF); endocrinologist referral is advisable.

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Les fractures de contrainte

Cited by 22 publications

References 31 publications

Ultrasound Features of the Normal and Pathologic Periosteum

Ultrasound Features of the Normal and Pathologic Periosteum

Stress Fractures of the Calcaneus Diagnosed by Sonography: Report of 8 Cases

Stress fracture of the pelvis and lower limbs including atypical femoral fractures—a review

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