IMAGING EXAMS TO DIAGNOSE STRESS FRACTURES

Abstract

Imaging studies play a crucial role in the diagnosis and evaluation of stress fractures. They provide detailed information about the injury, aiding in planning treatment and monitoring the patient's recovery. Plain radiography is commonly used as the first exam of choice, being able to identify stress fractures in advanced stages. However, magnetic resonance imaging (MRI) and computed tomography (CT) are more sensitive methods for early detection of lesions. MRI is particularly useful in visualizing bone swelling and adjacent soft tissue injuries, while CT provides a three-dimensional view of the fracture. The sensitivity and specificity of these imaging methods vary according to the anatomical location and stage of the lesion. Furthermore, technological advances such as the use of artificial intelligence (AI) and multimodal image fusion have the potential to further improve diagnostic accuracy. However, it is important to recognize the limitations of imaging tests, including the possibility of false-negative or false-positive results, reliance on the radiologist's expertise, and cost/availability of certain tests. In short, imaging exams play a key role in the diagnosis, treatment planning and monitoring of stress fractures, allowing a comprehensive clinical approach and adequate patient recovery.