"Bone tumor" diagnostic error in stress fracture of the medial tibial plateau

Stress fractures occur in 13.2-37.0% in running athletes. There is a decreasing incidence of these fractures in the tibia (33%), navicular (20%), metatarsus (20%), femur (11%), fibula (7%) and pelvis (7%). Clinically stress fractures present themselves with uncharacteristic local pain under weightbe...

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Bibliographic Details
Published inDer Unfallchirurg Vol. 103; no. 11; p. 993
Main Authors Csizy, M, Babst, R, Fridrich, K S
Format Journal Article
LanguageGerman
Published Germany 01.11.2000
Subjects
Adult
Biopsy
Bone Neoplasms - diagnosis
Bone Neoplasms - pathology
Diagnostic Errors
Female
Fractures, Stress - diagnosis
Fractures, Stress - pathology
Humans
Knee Injuries - diagnosis
Knee Injuries - pathology
Tibia - pathology
Tibial Fractures - diagnosis
Tibial Fractures - pathology
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Summary:Stress fractures occur in 13.2-37.0% in running athletes. There is a decreasing incidence of these fractures in the tibia (33%), navicular (20%), metatarsus (20%), femur (11%), fibula (7%) and pelvis (7%). Clinically stress fractures present themselves with uncharacteristic local pain under weightbearing conditions. In 75% the medial tibial crest is involved. Usually the pain disappears when the patient is non-weightbearing. As causal factors wrong training methods, oligomenorrhoe (6x incidence), low nutrition input (8x incidence) and a genu recurvatum-morphotype can be found. Misinterpretation can result from a similar clinical and radiological (conventional x-ray, scintigraphy, MRI) early course in stress fractures and bone tumors. We present a patient with a clinical diagnosis of a meniscus lesion. The following MRI was suspect for a malignant lymphoma or histiocytoma. Biopsy was performed and showed the final diagnosis of a stress fracture.
ISSN:0177-5537