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Related Experiment Video

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Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
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Stress Fracture Diagnosis by Computer-Assisted Thermography.

P H Goodman, M W Heaslet, J W Pagliano

    The Physician and Sportsmedicine
    |July 17, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Infrared thermography accurately identifies stress fractures in athletes, distinguishing them from other leg pain causes. This noninvasive technique aids in monitoring bone healing for a safe return to activity.

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    Area of Science:

    • Sports Medicine
    • Diagnostic Imaging
    • Orthopedics

    Background:

    • Exertional leg pain in athletes often presents diagnostic challenges.
    • Stress fractures are a common cause of such pain, requiring accurate diagnosis for proper management.
    • Current diagnostic methods may have limitations in differentiating stress fractures from other soft-tissue syndromes.

    Purpose of the Study:

    • To compare the diagnostic accuracy of infrared thermography, radionuclide bone scanning, and routine x-ray.
    • To evaluate infrared thermography's potential in diagnosing stress fractures in athletes with exertional leg pain.
    • To assess the utility of thermography in monitoring bone healing and guiding return to activity.

    Main Methods:

    • A prospective, blind study involving 17 athletes (10 male, 7 female) with exertional leg pain.
    • Comparison of infrared thermography, radionuclide bone scanning, and routine x-ray findings.
    • Correlation of thermographic patterns ('hot' vs. 'cold') with clinical outcomes and return to activity.

    Main Results:

    • Infrared thermography identified distinct patterns ('hot' and 'cold') correlating with activity status.
    • 'Hot' patterns indicated inability to resume activity, while 'cold' patterns allowed return.
    • Thermography also identified specific soft-tissue syndromes.

    Conclusions:

    • Infrared thermography shows promise as an accurate, noninvasive method for diagnosing stress fractures in athletes.
    • The technique may differentiate stress fractures from other shinsplint syndromes.
    • Repeated thermographic application could monitor bone healing and facilitate safe return to sport.