de la Cuadra P, Albiñana J
Orthopaedic Department, Clínica Puerta de Hierro, Madrid, Spain.
Int Orthop. 2000;24(1):47-9. doi: 10.1007/s002640050012.
Stress fractures in children are uncommon. This report describes the findings of 8 cases in 6 children. One patient had 3 stress fractures: 2 consecutive midshaft stress fractures of the same tibia associated with one of the fibula. Signs and symptoms may be misdiagnosed as malignant tumors or osteomyelitis. Serial radiographs and computed tomography scans are the key to the diagnosis, although bone scan and magnetic resonance imaging can be helpful. Biopsy is unnecessary and might even be misleading.
儿童应力性骨折并不常见。本报告描述了6名儿童中8例的检查结果。1例患者有3处应力性骨折：同一胫骨连续2处中轴应力性骨折，并伴有1处腓骨应力性骨折。其体征和症状可能被误诊为恶性肿瘤或骨髓炎。尽管骨扫描和磁共振成像可能有帮助，但连续的X线片和计算机断层扫描是诊断的关键。活检没有必要，甚至可能产生误导。
