Musculo-skeletal   [back to the Category]

Formes de passage : periostitis / stress fracture   [read the french version]

Author :   Docteur Anne Thiescé

"Les formes de passages"

The authors, "de Labareyre" and "Demarais", queried the existence of "formes de passages", after having observed on several occasions, the association of a periostitis and a stress fracture in the same patient.
And so, these writers describe two new entities for which they suggest the term of adaptation diffused hyperostosis:

1- A painful tibial syndrome as extensive as a periostitis showing an intense hyperfixation on the scintigraphy, M.R.I. shin splint, but no osseous fissure on the scanner.

2- A localised, incapacitating pain develops in the clinical picture of periostitis as well as a picture of a stress fracture within the periostitis.

Bibliography :

Demarais Y., Lucas D., Parier J., Poux D.: Diagnostic d’une douleur de jambe et éléments de traitement chez le sportif.: Médecins du sport,1997, 10, 11-22.

De Labareyre H., Demarais Y.: Douleurs tibiales: périostites ou fracture de fatigue. Abstract Rhumato., 2000, 207,20-22.