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Rheumatology 2001; 40: 1313-1314
© 2001 British Society for Rheumatology

Paediatric Rheumatology

Stress fractures: diagnostic pitfalls in juvenile idiopathic arthritis

Paediatric Rheumatology/Series Editor: P. Woo

J. B. Kuemmerle-Deschner1,2,, F. Dammann3, D. Niethammer2 and G. E. Dannecker1,2

1 Paediatric Rheumatology and Immunology,
2 Department of Paediatrics and
3 Department of Radiology, University Hospital Tübingen, Germany

Letter to the Editor

SIR, Stress fractures can be classified into two groups. Fatigue fractures may occur when repetitive muscular forces or stresses are applied to a normal bone, and are most common in adolescents, athletes and military recruits. In contrast, insufficiency fractures are found when physiological forces are applied to a weakened bone in patients with diseases like osteomalacia, fibrous dysplasia, metabolic disease and osteoporosis [1, 2]. Patients with juvenile idiopathic arthritis (JIA) accumulate a number of risk factors for the development of osteoporosis, such as inactivity and treatment with steroids or methotrexate . . . [Full Text of this Article]

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