Radiographically Occult and Subtle Fractures: A Pictorial Review

Radiographically occult and subtle fractures are a diagnostic challenge. They may be divided into (1) “high energy trauma fracture,” (2) “fatigue fracture” from cyclical and sustained mechanical stress, and (3) “insufficiency fracture” occurring in weakened bone (e.g., in osteoporosis and postradiot...

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Main Authors: Mohamed Jarraya, Daichi Hayashi, Frank W. Roemer, Michel D. Crema, Luis Diaz, Jane Conlin, Monica D. Marra, Nabil Jomaah, Ali Guermazi
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Radiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/370169
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author Mohamed Jarraya
Daichi Hayashi
Frank W. Roemer
Michel D. Crema
Luis Diaz
Jane Conlin
Monica D. Marra
Nabil Jomaah
Ali Guermazi
author_facet Mohamed Jarraya
Daichi Hayashi
Frank W. Roemer
Michel D. Crema
Luis Diaz
Jane Conlin
Monica D. Marra
Nabil Jomaah
Ali Guermazi
author_sort Mohamed Jarraya
collection DOAJ
description Radiographically occult and subtle fractures are a diagnostic challenge. They may be divided into (1) “high energy trauma fracture,” (2) “fatigue fracture” from cyclical and sustained mechanical stress, and (3) “insufficiency fracture” occurring in weakened bone (e.g., in osteoporosis and postradiotherapy). Independently of the cause, the initial radiographic examination can be negative either because the findings seem normal or are too subtle. Early detection of these fractures is crucial to explain the patient’s symptoms and prevent further complications. Advanced imaging tools such as computed tomography, magnetic resonance imaging, and scintigraphy are highly valuable in this context. Our aim is to raise the awareness of radiologists and clinicians in these cases by presenting illustrative cases and a discussion of the relevant literature.
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institution Kabale University
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series Radiology Research and Practice
spelling doaj-art-5c016271d10f4fd9ba859d7b42cff14c2025-02-03T06:06:06ZengWileyRadiology Research and Practice2090-19412090-195X2013-01-01201310.1155/2013/370169370169Radiographically Occult and Subtle Fractures: A Pictorial ReviewMohamed Jarraya0Daichi Hayashi1Frank W. Roemer2Michel D. Crema3Luis Diaz4Jane Conlin5Monica D. Marra6Nabil Jomaah7Ali Guermazi8Department of Radiology, Musculoskeletal Section, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USADepartment of Radiology, Musculoskeletal Section, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USADepartment of Radiology, Musculoskeletal Section, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USADepartment of Radiology, Musculoskeletal Section, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USADepartment of Radiology, VA Boston Healthcare System, Boston, MA 02130, USADepartment of Radiology, Musculoskeletal Section, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USADepartment of Radiology, Musculoskeletal Section, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USADepartment of Radiology, Aspetar, Qatar Orthopaedic and Sports Medicine Hospital, P.O. Box 29222, Doha, QatarDepartment of Radiology, Musculoskeletal Section, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USARadiographically occult and subtle fractures are a diagnostic challenge. They may be divided into (1) “high energy trauma fracture,” (2) “fatigue fracture” from cyclical and sustained mechanical stress, and (3) “insufficiency fracture” occurring in weakened bone (e.g., in osteoporosis and postradiotherapy). Independently of the cause, the initial radiographic examination can be negative either because the findings seem normal or are too subtle. Early detection of these fractures is crucial to explain the patient’s symptoms and prevent further complications. Advanced imaging tools such as computed tomography, magnetic resonance imaging, and scintigraphy are highly valuable in this context. Our aim is to raise the awareness of radiologists and clinicians in these cases by presenting illustrative cases and a discussion of the relevant literature.http://dx.doi.org/10.1155/2013/370169
spellingShingle Mohamed Jarraya
Daichi Hayashi
Frank W. Roemer
Michel D. Crema
Luis Diaz
Jane Conlin
Monica D. Marra
Nabil Jomaah
Ali Guermazi
Radiographically Occult and Subtle Fractures: A Pictorial Review
Radiology Research and Practice
title Radiographically Occult and Subtle Fractures: A Pictorial Review
title_full Radiographically Occult and Subtle Fractures: A Pictorial Review
title_fullStr Radiographically Occult and Subtle Fractures: A Pictorial Review
title_full_unstemmed Radiographically Occult and Subtle Fractures: A Pictorial Review
title_short Radiographically Occult and Subtle Fractures: A Pictorial Review
title_sort radiographically occult and subtle fractures a pictorial review
url http://dx.doi.org/10.1155/2013/370169
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