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Jarraya M, Hayashi D, Roemer FW, et al. Radiographically occult and subtle fractures: a pictorial review. Radiol Res Pract. 2013;2013:370169doi: 10.1155/2013/370169.
Jarraya, M., Hayashi, D., Roemer, F. W., Crema, M. D., Diaz, L., Conlin, J., Marra, M. D., Jomaah, N., & Guermazi, A. (2013). Radiographically occult and subtle fractures: a pictorial review. Radiology research and practice, 2013370169. https://doi.org/10.1155/2013/370169
Jarraya, Mohamed, et al. "Radiographically occult and subtle fractures: a pictorial review." Radiology research and practice vol. 2013 (2013): 370169. doi: https://doi.org/10.1155/2013/370169
Jarraya M, Hayashi D, Roemer FW, Crema MD, Diaz L, Conlin J, Marra MD, Jomaah N, Guermazi A. Radiographically occult and subtle fractures: a pictorial review. Radiol Res Pract. 2013;2013:370169. doi: 10.1155/2013/370169. Epub 2013 Mar 17. PMID: 23577253; PMCID: PMC3613077.
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Radiol Res Pract. 2013;2013:370169. doi: 10.1155/2013/370169. Epub 2013 Mar 17.

Radiographically occult and subtle fractures: a pictorial review.

Radiology research and practice

Mohamed Jarraya, Daichi Hayashi, Frank W Roemer, Michel D Crema, Luis Diaz, Jane Conlin, Monica D Marra, Nabil Jomaah, Ali Guermazi

Affiliations

  1. Department of Radiology, Musculoskeletal Section, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USA.

PMID: 23577253 PMCID: PMC3613077 DOI: 10.1155/2013/370169

Abstract

Radiographically occult and subtle fractures are a diagnostic challenge. They may be divided into (1) "high energy trauma fracture," (2) "fatigue fracture" from cyclical and sustained mechanical stress, and (3) "insufficiency fracture" occurring in weakened bone (e.g., in osteoporosis and postradiotherapy). Independently of the cause, the initial radiographic examination can be negative either because the findings seem normal or are too subtle. Early detection of these fractures is crucial to explain the patient's symptoms and prevent further complications. Advanced imaging tools such as computed tomography, magnetic resonance imaging, and scintigraphy are highly valuable in this context. Our aim is to raise the awareness of radiologists and clinicians in these cases by presenting illustrative cases and a discussion of the relevant literature.

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