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Stress Fracture Xrays

2 Types: Stress Fracture

Insufficiency Fracture = Normal Stress on Abnormal Bone

Fatigue Fracture = Abnormal Stress on Normal Bone

Stress fractures, although microscopic in nature, often do not result in a visible fracture line on X-rays due to their small size and lack of macroscopic bone interruption. However, follow-up stress fracture Xrays can reveal signs of bone healing and productive changes. MRI is considered the preferred imaging modality for diagnosing stress fractures due to its ability to detect subtle bone abnormalities. It’s crucial to address stress fractures promptly, as untreated cases can progress to overt fractures, highlighting the importance of early intervention and management.

Risk Factors:

  • Repetitive overuse (more common in lower extremity)
  • Focal structural & muscle weakness
  • Osteoporosis
  • Paget’s disease
  • Hypothyroidism
  • Rheumatoid arthritis

Clinical Symptoms:

  • Onset of pain exacerbated by physical activity.
  • Persistent pain even after cessation of activity.
  • Increased discomfort during periods of rest.
  • Tenderness upon gentle touch in the vicinity of the affected bone.
  • Presence of swelling in the affected area.
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Premier Radiology image of stress fracture X-ray 6 weeks
Premier Radiology image of stress fracture X-ray with acute pain

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