Stress fracture of femoral dyaphysis mimics osteosarcoma

Q4 Medicine
Tarik Bujaković, Ema Kacar Bujakovic, S. Delibegović, A. Vujadinović
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Abstract

Stress fractures of the femur are relativly uncommon. They can mimic other pathological entities, such as tumors, and can be the sourse of some diagnostic problems. The cause of stress fractures is often multifactorial and various modifiable and non-modifiable factors have been proposed to play a role: ethicity, high bone turnover, vitamin D insufficiency, nicotine and alcohol abuse, steroid use, low bone density, low adult weight, anorexia, or bisphosphonate therapy. Hence they might be missed in other groups of patients that present with anterior thigh pain without history of significant trauma. We report a stress fracture that mimicked tumoral process of the long bone, but patho-histological analysis revealed that it was a non-specific inflammation. Symptoms often mislead the clinicians, and because they mimic other conditions, a high index of suspicion/indication is required to uncover the true diagnosis. The importance of early detection and management needs to be conveyed, with a view to prevent complete fracture and bonedisplacement or, asin our reported case, to avoid un-necessery exploration. 
模拟骨肉瘤的股骨干应力性骨折
股骨应力性骨折相对少见。它们可以模仿其他病理实体,如肿瘤,并可能成为一些诊断问题的根源。应力性骨折的病因通常是多因素的,各种可改变和不可改变的因素也被认为起到了一定作用:道德、高骨转换、维生素D缺乏、尼古丁和酒精滥用、类固醇使用、低骨密度、低成人体重、厌食症或双磷酸盐治疗。因此,在其他没有严重创伤史的股前疼痛患者中,可能会错过它们。我们报告了一个模拟长骨肿瘤过程的应力性骨折,但病理学分析显示这是一种非特异性炎症。症状经常误导临床医生,因为它们模仿了其他情况,所以需要高的怀疑/适应症指数来揭示真正的诊断。需要传达早期检测和管理的重要性,以防止完全骨折和骨移位,或者在我们报告的病例中,避免不必要的探索
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来源期刊
Acta Medica Saliniana
Acta Medica Saliniana Medicine-Medicine (all)
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