A longitudinal insufficiency fracture of the tibia in association with a healed chronic osteomyelitis |
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Authors: | A Feydy R Carlier C Mutschler L Bernard V Leriverend C Vallée |
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Institution: | Department of Radiology, H pital Raymond Poincaré, Garches, France. |
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Abstract: | Longitudinal stress fracture of the tibia often present with an atypical clinical presentation which can be mistaken for
osseous tumor or osteomyelitis. We present a case of longitudinal stress fracture of the tibia which occurred in a patient
with healed chronic osteomyelitis of the tibia. Magnetic resonance imaging failed to make the correct diagnosis. Accurate
diagnosis was only obtained by helical CT which showed the longitudinal fracture line. Magnetic resonance imaging showed only
non-specific signs of bone marrow edema, suggesting recurrence of osteomyelitis. Magnetic resonance imaging can be misleading
in the absence of direct visualization of the fracture line.
Received: 30 September 1999; Revised: 26 April 2000; Accepted: 2 May 2000 |
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Keywords: | : Tibia – Stress fractures – CT – MRI |
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