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Acta Biomedica Scientia

Volume 4, Issue 3, 2017
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
LOWER LIMB STRESS FRACTURES AND RADIOLOGICAL EVALUATION IN SOUTHINDIANS AND THEIR MANAGEMENT AND OUTCOME
Author
Jyothi R. G, Rami Reddy Gurram
Email
drpebyreddy@gmail.com
keyword
Magnetic Resonance Imaging, Radiographs, Stress Fractures, Lower extremity
Abstract
Stress fractures are fatigue injuries of bone usually caused by changes in training regimen in the population of military recruits and both professional and recreational athletes. Raised levels of sporting activity in today's population and refined imaging technologies have caused a rise in reported incidence of stress fractures in the past decades, now making up more than 10% of cases in a typical sports medicine practice. Plain Radiograph, CT scan and MRI of 50 patients imaged with history of of localized pain related to change in their physical activity or followed by an effort/activity to which they were not accustomed were retrospectively reviewed for stress fractures. Lesions with both bone injuries and pathological findings on the adjacent soft tissues were taken into consideration and evaluated further. The study was conducted at Sri Lakshmi Narayana Institute of Medical Sciences, Pondichery and age of the population ranged from 16 to 70 years. Of the 60 patients studied, 30 were men and 30 were women. We found 5 mild stress reaction, 10 insufficiency fractures and 45 stress fractures. The use of CT and MRI is of a great importance for early diagnosis and thus was essential to exclude other causes of bone lesions that may create confusion in the differential diagnosis of a patient with pain and non-specific abnormalities on plain radiography. In the absence of a clear co-relation between repeated stress and pain in an active individual the clinical diagnosis of a stress related bone injury may be troublesome and a possible delay may cause worsening of this condition and further impairment to a professional athlete
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