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15 January 2022 : Case report  Japan

Successful Management of Radiation-Associated Insufficiency Fracture of the Tibial Plateau with Low-Intensity Pulsed Ultrasound

Unusual or unexpected effect of treatment

Tomoya Matsunobu1ABDE*, Akira Maekawa2BD, Satoshi Nomoto3BD, Yukihide Iwamoto2DE

DOI: 10.12659/AJCR.934372

Am J Case Rep 2022; 23:e934372

Figure 6. MRI signals and time course of the resolution for the insufficiency fracture in the proximal medial tibia. Coronal T1-weighted images (A–D), sagittal T1-weighted images (E–H), and sagittal T2-weighted images with fat suppression of the right knee taken immediately after the onset of the knee pain, and 4 months, 10 months, and 16 months after initiation of LIPUS therapy. Low signal intensity (A and E, arrows) on T1-weighted images and high signal intensity (I, arrowhead) on short TI inversion recovery (STIR) images in the proximal medial tibia disappeared over time. T1WI, T1-weighted images; STIR, short TI inversion recovery; LIPUS, low-intensity pulsed ultrasound; M, months.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923