Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | About | FAQ | Reviews | Search

Virtual Pediatric Hospital: Paediapaedia: Fracture, Stress Paediapaedia: Musculoskeletal Diseases

Fracture, Stress

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Clinical Presentation:
Localized pain that subsides with rest and a limp. The symptoms can be chronic and the pain may be referred.

A fracture of normal bone which has been subjected to a repeated stress which is not sufficient to create a complete fracture. The fracture begins as a small cortical infraction that progresses as stress increases or continues.

Not applicable

Imaging Findings:
The proximal tibia is the most common site followed by the femur, fibula, and ischium. A bone scan is best for early diagnosis, showing positive findings 2-3 weeks before the plain films show changes. The earliest plain film changes are cortical bone resorption or infraction at the fracture site with accompanying periosteal reaction. The lucent fracture line is often difficult to see. A transverse sclerotic line may be seen near the fracture site

Sclerosis with periosteal reaction:

See References Chapter.

Section Top | Title Page

Additional pediatric resources: | Facebook iconTwitter iconRSS icon |

Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon and Facebook @pedsimagingFacebook icon and Instagram @pedsimagingInstagram icon

About Us | FAQ | Reviews | Contact Us | Search

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright © 1992-2016 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.