Imaging analysis of stress fracture.docVIP

 PAGE \* MERGEFORMAT 7 Imaging analysis of stress fracture Author: summer and fall-Jun, Fan Zhigang, Lu Yu, Chen Ye-rong [Keywords:] stress fracture; image analysis Also known as stress fracture stress fracture, tibial stress fracture to the most common, accounting for about 39% ~ 72% [1], followed by the metatarsal. More common in soldiers, athletes. Early X-ray is usually negative, high incidence of missed or misdiagnosed. Since the 2000-2008 year are admitted to the hospital 34 cases of stress fracture patients, on their X-ray, CT, MRI different manifestations, as described below. 1 Data and methods 1.1 General Information 33 males, 1 female; men were soldiers, an average of 19.1 years for women aged 16 dancers, 1 case occurred in the femur, tibia in 22 cases, 10 cases of metatarsal, calcaneus in 1 case. Check the time ranged from 3 ~ 80 d. 1.2 Inspection Methods 34 patients underwent X-ray examination; of these seven routine CT examination, 3 routine MRI examinations, the time of onset of symptoms after 1 ~ 2 weeks. X-line using domestic digital X-ray photography (DR); CT examination using SIEMENS sensation 4-row spiral scanning, slice thickness 2 ~ 5 mm. Layer spacing 5 mm, underwent sagittal or coronal reconstruction. SIEMENS company’s 1.5T/MRI using MRI imaging device, sagittal, coronal, and transverse-bit multi-dimensional imaging, slice thickness 3 ~ 4 mm, interval of 1 ~ 2 mm. 2 imaging X-ray findings: Early X-ray examination, mostly negative, this group of cases, 9 cases showed only a mild localized periosteal reaction. X-ray symptoms and signs usually appear 2 to 3 weeks after the positive signs, showing that bone and bone callus formation [2], by comparing the follow-up review of the above cases, some cases can be seen locally dense soft tissue mass. According to the length of time after injury, the following X-ray findings: (1) trabecular disarrangement or interruption; (2) cortex appears translucent zone; (3) bone intimal hyperplasia; (