Allen G J
Department of Radiology, St. Paul's Hospital, Vancouver, B.C., Canada.
Radiology. 1988 Jun;167(3):799-801. doi: 10.1148/radiology.167.3.3363144.
In most cases, the diagnosis of stress fracture is straightforward with a history of physical activity; characteristic pain in a specific site; and plain radiographs that show sclerosis, periosteal or endosteal reaction, no abnormalities, or, rarely, a fracture. However, when any of the features above are atypical, further study is warranted. Most stress fractures of the tibia are transverse or oblique and involve the mid or proximal shaft. Two cases are presented in which the fracture line was seen on computed tomography scans as coursing longitudinally down the shaft of the distal tibia, which, to my knowledge, is an orientation and location not previously described in the literature.
在大多数情况下，应力性骨折的诊断并不复杂，依据有体育活动史、特定部位的特征性疼痛以及显示骨质硬化、骨膜或骨内膜反应、无异常或罕见骨折情况的X线平片。然而，当上述任何特征不典型时，则有必要进一步检查。胫骨的大多数应力性骨折为横行或斜行，累及胫骨中段或近端。现报告两例，其骨折线在计算机断层扫描上显示沿胫骨远端骨干纵向走行，据我所知，这种走行方向和位置在以往文献中未曾描述过。
