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Terms in this set (122)

Correct Answer:
- Symptoms of a stress fracture may include pain and swelling, particularly with weight bearing on the injured bone.

-Stress fractures should be considered in patients who present with tenderness or edema after a recent increase in activity or repeated activity with limited rest.

-The differential diagnosis varies based on location but commonly includes
= tendinopathy,
=compartment syndrome, and
=nerve or artery entrapment syndrome.

Incorrect Choices:
-Bone tumor is a possibility but not the most characteristic in this scenario.
Pain may be increased at night.
In this case there was pain at night but not increased.
Activity may also increase the amount of pain.
There may also be swelling with a bone tumor. Imaging is required.

-Compartment syndrome is a painful condition that occurs when pressure within the muscles builds to dangerous levels.
This pressure can decrease blood flow, which prevents nourishment and oxygen from reaching nerve and muscle cells.
Compartment syndrome can be either acute or chronic.
=Acute compartment syndrome is a medical emergency.
It is usually caused by a severe injury.
There may be pain, decreased pulses, paresthesias, pallor, and paralysis.
=Chronic compartment syndrome, also known as exertional compartment syndrome, is usually not a medical emergency.
It is most often caused by athletic exertion.
However, the patient usually complains of a bursting type of pressure and pain,

-Shin splints (medial tibial stress syndrome) is a common condition that can be distinguished from tibial stress fractures by nonfocal tenderness (diffuse along the mid-distal, posteromedial tibia) and a lack of edema.