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Insufficiency fracture of the calcaneum: Sonographic findings

✍ Scribed by Delphine Arni; Véronique Lambert; Marino Delmi; Stefano Bianchi

Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
166 KB
Volume
37
Category
Article
ISSN
0091-2751

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✦ Synopsis

Abstract

We present a case of insufficiency fracture (IF) of the calcaneum diagnosed by sonography (US). An 83‐year‐old woman consulted because of pain and swelling of the left heel without history of trauma. Standard radiographs showed osteoporosis without fracture. US revealed thickening of the calcaneal periosteum associated with edema of the adjacent soft tissues. Color Doppler imaging showed marked increased vascularity of the periosteum. US changes, together with the clinical and radiographic findings, were consistent with an IF of the calcaneum that was confirmed by MRI. The patient was treated successfully by conservative treatment. In the proper clinical setting, US can suggest the diagnosis of IF of the calcaneum. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound, 2009

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