Proximal ulna stress fracture and stress reaction of the proximal radius associated with the use of crutches: A case report and literature review

被引:13
作者
Venkatanarasimha N. [1 ]
Kamath S. [2 ]
Kambouroglou G. [3 ]
Ostlere S.J. [2 ]
机构
[1] Department of Radiology, Peninsula Radiology Academy, Derriford Hospital, Plymouth PL6 5WR, Derriford Road
[2] Department of Radiology, Nuffield Orthopaedic Centre, Oxford OX3 7LD, Windmill Road, Headington
[3] Oxford Trauma Unit, John Radcliffe Hospital, Oxford, Headington
关键词
Magnetic resonance imaging; Radius; Stress fracture; Ulna;
D O I
10.1007/s10195-009-0057-3
中图分类号
学科分类号
摘要
We report a case of complete stress fracture of the ulna and stress reaction of the radius resulting from the use of crutches in an overweight patient with severe lower extremity arthritis. Plain radiograph showed an undisplaced complete fracture of the proximal metaphysis of the ulna. Magnetic resonance imaging (MRI) was performed to exclude a pathological cause in view of the unusual fracture site, which confirmed the plain radiographic findings and additionally demonstrated a stress reaction in the proximal radius. There are three cases of stress fracture of the ulnar diaphysis resulting from the use of crutches reported previously in the English literature and a further case of bilaterally symmetrical ulnar diaphysial fracture reported in the Danish literature. We report the first case of ulnar metaphysis stress fracture with concomitant stress reaction of the radius. © Springer-Verlag 2009.
引用
收藏
页码:155 / 157
页数:2
相关论文
共 12 条
  • [1] Jones G.L., Upper extremity stress fracture, Clin Sports Med, 25, pp. 159-174, (2006)
  • [2] Amin A., Singh V., Saifuddin A., Briggs T.W.R., Ulnar stress reaction from crutch use following amputation for tibial osteosarcoma, Skeletal Radiol, 33, pp. 541-544, (2004)
  • [3] McGoldrick F., O'Brien T.M., Bilateral stress fractures of the ulna, Injury, 19, pp. 360-361, (1988)
  • [4] Gracia Suarez G., Garcia Garcia J., Perez Carro L., Stress fracture of the ulna associated with crutch use, J Orthop Trauma, 15, pp. 524-525, (2001)
  • [5] Sorensen L., Bilateral symmetrical stress fracture of the ulna, Ugeskr Laeger, 154, pp. 1850-1851, (1992)
  • [6] Troell A., Lauritzen G., Moller A., Fractures of apparently healthy bone without unquestionably true element of accident, Acta Chir Scand, 84, (1941)
  • [7] Rettig A.C., Stress fracture of the ulna in an adolescent tournament tennis player, Am J Sports Med, 11, pp. 103-106, (1983)
  • [8] Hamilton H.K., Stress fracture of the diaphysis of the ulna in a body builder, Am J Sports Med, 12, pp. 405-406, (1984)
  • [9] Hamilton B.H., Colsen E., Brukner P., Stress fracture of the ulna in a baseball pitcher, Clin J Sport Med, 9, pp. 231-232, (1999)
  • [10] Clark R.J., Sizer Jr. P.S., Slauterbeck J., Stress Fracture of the ulna in a male competitive polo player, Am J Sports Med, 30, pp. 130-132, (2002)