Suspected Stress Fracture

Symptom

suspected stress fracture

Considerations

• Xray is a required first step before consideration of other imaging. If findings conclusive, no additional imaging generally needed. The next step can include repeat x-ray, bone scan, MRI or CT. Repeat xray if planned conservative management.
• Bone scan very sensitive next test (95% detection of fracture at 72 hours post injury). Can be non-specific though. CT can then be used for sacrum. MRI best elsewhere given its specificity and sensitivity.

Recommended tests

• Xray of affected region. Consider repeat xray in 10-14 days.
• Bone scan
• MRI hip, knee or ankle
• CT pelvis without IV contrast

For other considerations, call or text the radiologist.