Bin Dous Yazeed, Hamd Zuhal Y, Aldhahi Monira I, Alhussein Nagwan, Alkhateeb Bader A, Alorainy Amal I, Alhomida Basim Abdullah
Medical Imaging Department, King Abdullah bin Abdulaziz University Hospital, Riyadh, Saudi Arabia.
Department of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Radiol Case Rep. 2024 Jan 6;19(3):1228-1231. doi: 10.1016/j.radcr.2023.12.029. eCollection 2024 Mar.
We describe a case report of a 13 year-old a gymnastic athlete who was diagnosed with an olecranon stress fracture associated with mild medial epicondyle apophysitis, Following a brief review of the literature on this case, the researchers call attention to the significance of and imaging assessment especially MR in determining the correct diagnosis and identifying concomitant injuries. MRI findings concluded firstly a marked bone marrow edema seen at the posterior medial aspect of the olecranon with linear low signal traversing the olecranon related to a stress fracture. Secondly, subchondral linear low signal and bone marrow edema at the radial head related to another stress fracture/reaction injury. Thirdly, bone marrow edema at the medial apophysis with overlying soft tissue edema suggestive for medial epicondylitis.
我们报告一例13岁体操运动员的病例，该运动员被诊断为鹰嘴应力性骨折并伴有轻度内侧髁上骨骺炎。在对该病例的文献进行简要回顾后，研究人员提请注意影像学评估尤其是磁共振成像（MR）在确定正确诊断和识别并发损伤方面的重要性。磁共振成像结果显示，首先，鹰嘴后内侧可见明显的骨髓水肿，伴有一条穿过鹰嘴的线性低信号，提示应力性骨折。其次，桡骨头可见软骨下线性低信号和骨髓水肿，提示另一处应力性骨折/反应性损伤。第三，内侧骨骺骨髓水肿，上方软组织水肿，提示内侧髁炎。
