Devereaux M D, Parr G R, Lachmann S M, Page-Thomas P, Hazleman B L
JAMA. 1984 Jul 27;252(4):531-3.
Eighteen patients with shin pain that was clinically considered to be caused by a stress fracture of the tibia or fibula underwent radiological, thermographic, and scintigraphic studies and a test of ultrasound-induced pain. When initially seen, 15 had stress fractures confirmed by scintigraphy. Of these, 12 had abnormal thermograms, eight had positive test results for ultrasound-induced pain, and seven had abnormal radiographs. Thermography used alone seemed to be a safe, rapid means of diagnosis for stress fractures in the tibia or fibula and was not found to be related to symptom duration. In the radiologically normal group of stress fractures, four (50%) had positive test results for ultrasound stress tests and normal thermograms. The combination of these two tests should provide an early method of detecting stress fractures in the tibia and fibula, thereby avoiding scintiscans in some athletes.
18例临床上认为由胫骨或腓骨应力性骨折引起的小腿疼痛患者接受了放射学、热成像和闪烁扫描研究以及超声诱发疼痛试验。初诊时，15例经闪烁扫描确诊为应力性骨折。其中，12例热成像异常，8例超声诱发疼痛试验结果为阳性，7例X线片异常。单独使用热成像似乎是诊断胫骨或腓骨应力性骨折的一种安全、快速的方法，且未发现与症状持续时间有关。在放射学检查正常的应力性骨折组中，4例（50%）超声应力试验结果为阳性且热成像正常。这两种检查方法相结合应能提供一种早期检测胫骨和腓骨应力性骨折的方法，从而避免一些运动员进行闪烁扫描。
