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Archives of Orthopaedic and Trauma Surgery

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01-09-2003 | Case Report

Three different stages of bone stress reactions of long bones in one patient: case report and review of the literature

Authors: Hermann J. Bail, Klaus-Dieter Schaser, Michael Raschke, Ingo Melcher

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2003

Abstract

Introduction

The similar clinical and radiological early course of stress fractures and bone tumors can lead to diagnostic misinterpretion.

Materials and methods

A patient is presented who was admitted to our clinic with the diagnosis of similar bone tumors in the distal femur and the proximal tibia. We found an additional localization with high bone turnover in the contralateral proximal tibia; including this lesion, the patient presented with three different types of stress reaction of bone. The final diagnostic decision-making was based on MRI and bone scintigraphy as well as the consideration of localization, age of occurrence, and behavior of malignant bone diseases. Therefore, bone biopsy was not performed.

Results

After 8 weeks of partial weight-bearing, the symptoms disappeared, and the patient could return to normal activity.

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Title: Three different stages of bone stress reactions of long bones in one patient: case report and review of the literature
Authors: Hermann J. Bail
Klaus-Dieter Schaser
Michael Raschke
Ingo Melcher
Publication date: 01-09-2003
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 7/2003
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-003-0553-5

At a glance: The STEP trials

Springer Medicine

Three different stages of bone stress reactions of long bones in one patient: case report and review of the literature

Abstract

Introduction

Materials and methods

Results

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

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