This 16 y/o presented with arm pain. Plain film findings led to CT and MRI. Selected images from the studies shown above demonstrate findings consistent with a healing fracture. A 6 week follow-up x-ray shows additional callous formation about the fracture site. Additional information from the patient and father revealed a history of minor incidental trauma and continuous weight lifting by the patient (>100 "curls" per day) despite the pain prior to the initial studies.
  1. Ward WG Sr, Sekiya JK, Pope TL Jr. Traumatic ossifying periostitis of the ulna masquerading as a malignancy in a football player. A case report and literature review. Am J Sports Med 1996 Nov-Dec;24(6):852-6 UI:97103039
  2. Davies AM, Carter SR, Grimer RJ, Sneath RS. Fatigue fractures of the femoral diaphysis in the skeletally immature simulating malignancy. Br J Radiol 1989 Oct;62(742):893-6 UI:9005794
  3. Stafford SA, Rosenthal DI, Gebhardt MC, Brady TJ, Scott JA. MRI in stress fracture. AJR Am J Roentgenol 1986 Sep;147(3):553-6 UI:86292631
  4. Patel MR, Irizarry J, Stricevic M. Stress fracture of the ulnar diaphysis: review of the literature and report of a case. J Hand Surg [Am] 1986 May;11(3):443-5 UI:86225277
  5. Hamilton HK. Stress fracture of the diaphysis of the ulna in a body builder. Am J Sports Med 1984 Sep-Oct;12(5):405-6 UI:85044478
  6. Rettig AC. Stress fracture of the ulna in an adolescent tournament tennis player. Am J Sports Med 1983 Mar-Apr;11(2):103-6 UI:83201777
  7. Mamanee P, Neira C, Martire JR, McFarland EG. Stress lesion of the proximal medial ulna in a throwing athlete. A case report. Am J Sports Med 2000 Mar-Apr;28(2):261-3 UI:20213059
  8. Grossfeld SL, Van Heest A, Arendt E, House J. Pitcher's periostitis. A case report. Am J Sports Med 1998 Mar-Apr;26(2):303-7 UI:98207906
  9. Tanabe S, Nakahira J, Bando E, Yamaguchi H, Miyamoto H, Yamamoto A. Fatigue fracture of the ulna occurring in pitchers of fast-pitch softball. Am J Sports Med 1991 May-Jun;19(3):317-21 UI:91328330
  10. Bell RH, Hawkins RJ. Stress fracture of the distal ulna. A case report. Clin Orthop 1986 Aug;(209):169-71 UI:86272882
  11. Case 3. Stress fracture of the ulna. Radiographics 1988 Mar;8(2):239-40 UI:88204351
  12. Monroc M, Ducou le Pointe H, Haddad S, Josset P, Montagne JP. Soft tissue signal abnormality associated with eosinophilic granuloma. Correlation of MR imaging with pathologic findings. Pediatr Radiol 1994;24(5):328-32 UI:95124810
  13. Yi HG, Kriegshauser LA, Gilula LA. Imaging rounds #98. Ewing's sarcoma with pathologic fracture. Orthop Rev 1989 Feb;18(2):241-6 UI:89183263
  14. Aisen AM, Martel W, Braunstein EM, McMillin KI, Phillips WA, Kling TF. MRI and CT evaluation of primary bone and soft-tissue tumors. AJR Am J Roentgenol 1986 Apr;146(4):749-56 UI:86155246
  15. Boyko OB, Cory DA, Cohen MD, Provisor A, Mirkin D, DeRosa GP. MR imaging of osteogenic and Ewing's sarcoma. AJR Am J Roentgenol 1987 Feb;148(2):317-22 UI:87096898

Use the Back or Backward button on your browser to return