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April 25, 1980

Early Confirmation of Stress Fractures in Joggers

Author Affiliations

From the Department of Radiology, Henrotin Hospital, Chicago (Drs Norfray and Schlachter); the Department of Orthopedic Surgery, Northwestern University, McGaw Medical Center, Chicago (Dr Kernahan); and the Department of Sports Medicine, Illinois College of Podiatric Medicine, Chicago (Drs Arenson and Smith, Mr Roth, and Ms Schlefman).

JAMA. 1980;243(16):1647-1649. doi:10.1001/jama.1980.03300420031021

Four joggers had early confirmation of clinically suspected stress fractures by radionuclide bone scans. The radioactive bone scan was abnormal as early as six weeks prior to the appearance of conventional roentgenographic changes. The stress fractures involved the bones of the lower extremities and included the femur, tibia, and calcaneus. Radioactive bone scanning also correctly identified stress fractures with bilateral involvement and referred pain. In joggers, when a stress fracture is clinically suspected and the conventional radiographs are negative, a radioactive bone scan is indicated for early confirmation and institution of appropriate treatment.

(JAMA 243:1647-1649, 1980)