Metaphyseal impaction fractures in acute lymphoblastic leukemia.
Patients with acute lymphatic leukaemia frequently are osteoporotic. A small subset of these develop disabling metaphyseal transverse fractures, usually bilateral and in the lower limb. These impaction fractures have a characteristic appearance and develop in recently laid down bone. They may develop ab initio or during therapy. Magnesium deficiency is found in these patients.
Manson
D
D
Department of Radiology, McMaster University, Hamilton, Ontario, Canada.
Martin
R F
RF
Cockshott
W P
WP
D002648:Child; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D010024:Osteoporosis / Q000000981:diagnostic imaging / Q000209:etiology; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications*; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000209:etiology; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000209:etiology