Orthopedics Book

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Stress Fracture XRay

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  1. Epidemiology: Test Sensitivity
    1. Early exams: 15%
    2. All stages: 50%
  2. Signs
    1. Cortical Bone
      1. Faint intracortical radiolucent striations
      2. Endosteal thickening
      3. True Fracture line
    2. Cancellous bone
      1. Difficult to detect
      2. Subtle blurring of landmarks
        1. Trabecular margins
        2. Sclerotic bands
  3. Course
    1. Weeks to months to reveal bone remodeling

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