$occult tibial plateau fracture$ $occult tibial plateau fracture$

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This type of fracture is better demonstrated by bone scintigraphy, which reveals the characteristic “H” or “Honda” sign that appears as a result of intense radiopharmaceutical uptake, or by computed tomographic (CT) scanning ( Figure 1).

$occult tibial plateau fracture$

Irregularity of the contour or an actual break in the sacral arcuate lines and/or patchy sclerosis in an H-shaped configuration may be seen. Plain radiographs often appear normal in these cases. This is in contrast to the fatigue fracture, in which a fracture occurs in normal bone (bone with normal elastic resistance) that has been subject to abnormal stresses. Insufficiency fractures occur when abnormal bone (bone with decreased elastic resistance) is subject to normal stress. Insufficiency fractures of the sacrum typically occur in post-menopausal, osteoporotic women or in patients taking long-term corticosteroid treatments, those with rheumatoid arthritis or those who have undergone radiation therapy. All rights reserved.Sacral pathology may occur in the form of an insufficiency stress fracture.

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$occult tibial plateau fracture$

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$occult tibial plateau fracture$

Occult tibial plateau fracture