Andrew,
I'd agree that it is probably unreliable in terms of getting lots of false
negatives but do you think that it might be a useful method of initial
screening. ie if it was painful you would definately refer on to bone scan
etc?
The problem in the UK s convincing a GP to refer on for bone scan without
some convincing indication.
Have you seen any research in this area? You'd think it would make a fairly
interesting project in terms of U/S on people with stress fracture indicated
on scans and U/S on people with similar pains but with no stress fracure on
scan - ie seeing how much of a correlation there is.
John Spencer
----- Original Message -----
From: "David Riddell" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, August 19, 2002 10:46 AM
Subject: Re: Anterior tibial pain
> Andrew
>
> That is a highly unreliable method of testing for a stress fracture. If
you
> suspect that is the problem I'd suggest that you get bone scans done. If
> you're not sure and it sounds like you're not I'd suggest you send the
> patient to a sports physician/orthopod/ who can arrange further
> investigations - scans/pressure testing/other as required.
>
> cheers
>
> Dave Riddell
> Physio
>
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