["Bone tumor" diagnostic error in stress fracture of the medial tibial plateau].
Stress fractures occur in 13.2-37.0% in running athletes. There is a decreasing incidence of these fractures in the tibia (33%), navicular (20%), metatarsus (20%), femur (11%), fibula (7%) and pelvis (7%). Clinically stress fractures present themselves with uncharacteristic local pain under weightbearing conditions. In 75% the medial tibial crest is involved. Usually the pain disappears when the patient is non-weightbearing. As causal factors wrong training methods, oligomenorrhoe (6x incidence), low nutrition input (8x incidence) and a genu recurvatum-morphotype can be found. Misinterpretation can result from a similar clinical and radiological (conventional x-ray, scintigraphy, MRI) early course in stress fractures and bone tumors. We present a patient with a clinical diagnosis of a meniscus lesion. The following MRI was suspect for a malignant lymphoma or histiocytoma. Biopsy was performed and showed the final diagnosis of a stress fracture.
Csizy
M
M
Orthopädische Universitätsklinik, Felix Platter-Spital Basel.
Babst
R
R
Fridrich
K S
KS
D000328:Adult; D001706:Biopsy; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000473:pathology; D003951:Diagnostic Errors; D005260:Female; D015775:Fractures, Stress / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis* / Q000473:pathology; D013977:Tibia / Q000473:pathology; D013978:Tibial Fractures / Q000175:diagnosis* / Q000473:pathology