Stress Fracture of Isolated Middle Cuneiform Bone in a Trainee Physician: A Case Report and Review
| Autor: | Pera Jayavardhan Reddy, Neelam Ramana Reddy, Mukesh Saini |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Fractures Stress 03 medical and health sciences 0302 clinical medicine Hypovitaminosis Physicians Insufficiency fracture Humans Medicine Orthopedics and Sports Medicine Foot Injuries Cuneiform 030203 arthritis & rheumatology Cuneiform bones Stress fractures Middle cuneiform business.industry Chronic fatigue Tarsal Bones 030229 sport sciences medicine.disease Magnetic Resonance Imaging Surgery Fracture (geology) business |
| Zdroj: | The Journal of Foot and Ankle Surgery. 59:1283-1286 |
| ISSN: | 1067-2516 |
| DOI: | 10.1053/j.jfas.2020.05.004 |
| Popis: | Stress fractures are chronic fatigue failure of bone from repetitive subthreshold loads. Insufficiency fractures occur in bones that are already osteopenic and fail to withstand normal loads over time. Stress fractures of cuneiform bones are extremely rare and usually reported to happen in athletes or recruits. We describe a case of middle cuneiform insufficiency fracture that occurred in a young trainee physician with severe hypovitaminosis D, who joined his training a few weeks before it happened. Magnetic resonance imaging remains the modality of choice of diagnosis of foot stress injuries because it detects even stress reactions with reasonable sensitivity. Cuneiform stress fractures, like other low-risk stress fractures, heal with immobilization only and do not require surgical intervention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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