Pediatric Radiology

, Volume 40, Issue 8, pp 1387–1389

Stress fractures of ankle and wrist in childhood: nature and frequency

Original Article
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Abstract

Background

Stress fractures of many etiologies are found not infrequently in various tarsal bones but are less commonly recognized in carpal bones.

Objective

To assess the distribution of tarsal and carpal stress fractures.

Materials and methods

During the last three decades, the senior author collected locations of tarsal and carpal bone stress fracture callus seen on plain radiographs.

Results

527 children with tarsal and carpal stress fractures were identified (88 children had multiple bones involved). The totals were: calcaneus 244, cuboid 188, talus 121, navicular 24, cuneiforms 23, capitate 18, lunate 1, and scaphoid 1. Stress fractures were more frequently seen once we became aware each particular bone could be involved.

Conclusion

Tarsal and carpal stress fractures in children are not rare. Careful perusal of these bones is urged in all susceptible children with limping or wrist pain.

Keywords

Stress fracture Carpal bones Tarsal bones Capitate Children 

References

  1. 1.
    Oestreich AE, Crawford AH (1985) Stress fracture. In: Atlas of pediatric orthopedic radiology. Thieme, Stuttgart, pp 53Google Scholar
  2. 2.
    Englaro EE, Gelfand MJ, Paltiel HJ (1992) Bone scintigraphy in preschool children with lower extremity pain of unknown origin. J Nucl Med 33:351–354PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  1. 1.Department of RadiologyCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  2. 2.University of Cincinnati College of MedicineCincinnatiUSA

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