{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:13:44Z","timestamp":1786979624999,"version":"build-2736575974"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2020,2,19]],"date-time":"2020-02-19T00:00:00Z","timestamp":1582070400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,2,19]],"date-time":"2020-02-19T00:00:00Z","timestamp":1582070400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Radiologe"],"published-print":{"date-parts":[[2020,6]]},"DOI":"10.1007\/s00117-020-00657-7","type":"journal-article","created":{"date-parts":[[2020,2,19]],"date-time":"2020-02-19T09:05:37Z","timestamp":1582103137000},"page":"506-513","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Spezielle Aspekte bei Stressfrakturen","Special aspects of stress fractures"],"prefix":"10.1007","volume":"60","author":[{"given":"Kolja M.","family":"Thierfelder","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith S.","family":"Gerhardt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f6nke","family":"Langner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Mittlmeier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc-Andr\u00e9","family":"Weber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,2,19]]},"reference":[{"key":"657_CR1","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1001\/jama.1964.03060260029006","volume":"187","author":"RL Pentecost","year":"1964","unstructured":"Pentecost\u00a0RL, Murray\u00a0RA, Brindley\u00a0HH (1964) Fatigue, insufficiency, and pathologic fractures. JAMA 187:1001\u20131004","journal-title":"JAMA"},{"key":"657_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/jbmr.1998","volume":"29","author":"E Shane","year":"2014","unstructured":"Shane\u00a0E et\u00a0al (2014) Atypical subtrochanteric and diaphyseal femoral fractures: second report of a\u00a0task force of the American society for bone and mineral research. J\u00a0Bone Miner Res 29:1\u201323","journal-title":"J Bone Miner Res"},{"key":"657_CR3","doi-asserted-by":"publisher","first-page":"413","DOI":"10.3109\/17453670903139914","volume":"80","author":"J Schilcher","year":"2009","unstructured":"Schilcher\u00a0J, Aspenberg\u00a0P (2009) Incidence of stress fractures of the femoral shaft in women treated with bisphosphonate. Acta Orthop 80:413\u2013415","journal-title":"Acta Orthop"},{"key":"657_CR4","doi-asserted-by":"publisher","first-page":"1165","DOI":"10.1007\/s00256-017-2632-7","volume":"46","author":"JC Mandell","year":"2017","unstructured":"Mandell\u00a0JC, Khurana\u00a0B, Smith\u00a0SE (2017) Stress fractures of the foot and ankle, part 2: site-specific etiology, imaging, and treatment, and differential diagnosis. Skeletal Radiol 46:1165\u20131186","journal-title":"Skeletal Radiol"},{"key":"657_CR5","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1148\/radiol.16142305","volume":"280","author":"MN Pathria","year":"2016","unstructured":"Pathria\u00a0MN, Chung\u00a0CB, Resnick\u00a0DL (2016) Acute and stress-related injuries of bone and cartilage: pertinent anatomy, basic biomechanics, and imaging perspective. Radiology 280:21\u201338","journal-title":"Radiology"},{"key":"657_CR6","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1007\/s002239900493","volume":"63","author":"KL Bennell","year":"1998","unstructured":"Bennell\u00a0KL et al (1998) A 12-month prospective study of the relationship between stress fractures and bone turnover in athletes. Calcif Tissue Int 63:80\u201385","journal-title":"Calcif Tissue Int"},{"key":"657_CR7","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.csm.2005.08.005","volume":"25","author":"RA Snyder","year":"2006","unstructured":"Snyder\u00a0RA, Koester\u00a0MC, Dunn\u00a0WR (2006) Epidemiology of stress fractures. Clin Sports Med 25:37\u201352","journal-title":"Clin Sports Med"},{"key":"657_CR8","doi-asserted-by":"publisher","first-page":"1148","DOI":"10.1259\/bjr\/78510315","volume":"85","author":"SY Liong","year":"2012","unstructured":"Liong\u00a0SY, Whitehouse\u00a0RW (2012) Lower extremity and pelvic stress fractures in athletes. Br J Radiol 85:1148\u20131156","journal-title":"Br J Radiol"},{"key":"657_CR9","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/j.csm.2010.03.001","volume":"29","author":"MA Harrast","year":"2010","unstructured":"Harrast\u00a0MA, Colonno\u00a0D (2010) Stress fractures in runners. Clin Sports Med 29:399\u2013416","journal-title":"Clin Sports Med"},{"key":"657_CR10","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1007\/s00117-019-0493-x","volume":"59","author":"K Bath","year":"2019","unstructured":"Bath\u00a0K, Steinhagen\u00a0I (2019) Stress fracture of athletes as a\u00a0cause of groin pain. Radiologe 59:204\u2013211","journal-title":"Radiologe"},{"key":"657_CR11","doi-asserted-by":"publisher","first-page":"2194","DOI":"10.1007\/s11999-010-1694-9","volume":"469","author":"A Unnanuntana","year":"2011","unstructured":"Unnanuntana\u00a0A, Rebolledo\u00a0BJ, Khair\u00a0MM, DiCarlo\u00a0EF, Lane\u00a0JM (2011) Diseases affecting bone quality: beyond osteoporosis. Clin Orthop Relat Res 469:2194\u20132206","journal-title":"Clin Orthop Relat Res"},{"key":"657_CR12","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1007\/s00068-015-0530-z","volume":"41","author":"D Wagner","year":"2015","unstructured":"Wagner\u00a0D, Ossendorf\u00a0C, Gruszka\u00a0D, Hofmann\u00a0A, Rommens\u00a0PM (2015) Fragility fractures of the sacrum: how to identify and when to treat surgically? Eur J Trauma Emerg Surg 41:349\u2013362","journal-title":"Eur J Trauma Emerg Surg"},{"key":"657_CR13","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1177\/0363546513520295","volume":"42","author":"MT Barrack","year":"2014","unstructured":"Barrack\u00a0MT et al (2014) Higher incidence of bone stress injuries with increasing female athlete triad-related risk factors: a\u00a0prospective multisite study of exercising girls and women. Am J Sports Med 42:949\u2013958","journal-title":"Am J Sports Med"},{"key":"657_CR14","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1080\/000164702320155392","volume":"73","author":"J Lassus","year":"2002","unstructured":"Lassus\u00a0J, Tulikoura\u00a0I, Konttinen\u00a0YT, Salo\u00a0J, Santavirta\u00a0S (2002) Bone stress injuries of the lower extremity: a\u00a0review. Acta Orthop Scand 73:359\u2013368","journal-title":"Acta Orthop Scand"},{"key":"657_CR15","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1177\/0363546515574066","volume":"44","author":"AA Wright","year":"2016","unstructured":"Wright\u00a0AA et al (2016) Diagnostic accuracy of various imaging modalities for suspected lower extremity stress fractures: a systematic review with evidence-based recommendations for clinical practice. Am J Sports Med 44:255\u2013263","journal-title":"Am J Sports Med"},{"key":"657_CR16","doi-asserted-by":"publisher","first-page":"878","DOI":"10.2214\/AJR.11.6826","volume":"198","author":"R Kijowski","year":"2012","unstructured":"Kijowski\u00a0R, Choi\u00a0J, Shinki\u00a0K, Del Rio\u00a0AM, De Smet\u00a0A (2012) Validation of MRI classification system for tibial stress injuries. Ajr Am J Roentgenol 198:878\u2013884","journal-title":"Ajr Am J Roentgenol"},{"key":"657_CR17","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1007\/s10140-016-1390-5","volume":"23","author":"GR Matcuk","year":"2016","unstructured":"Matcuk\u00a0GR et\u00a0al (2016) Stress fractures: pathophysiology, clinical presentation, imaging features, and treatment options. Emerg Radiol 23:365\u2013375","journal-title":"Emerg Radiol"},{"key":"657_CR18","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.ejrad.2007.01.014","volume":"62","author":"FH Berger","year":"2007","unstructured":"Berger\u00a0FH, de Jonge\u00a0MC, Maas\u00a0M (2007) Stress fractures in the lower extremity. The importance of increasing awareness amongst radiologists. Eur J Radiol 62:16\u201326","journal-title":"Eur J Radiol"},{"key":"657_CR19","doi-asserted-by":"publisher","first-page":"4182","DOI":"10.1007\/s00330-018-5411-5","volume":"28","author":"CH Suh","year":"2018","unstructured":"Suh\u00a0CH et al (2018) Diagnostic performance of dual-energy CT for the detection of bone marrow oedema: a\u00a0systematic review and meta-analysis. Eur Radiol 28:4182\u20134194","journal-title":"Eur Radiol"},{"key":"657_CR20","doi-asserted-by":"publisher","first-page":"2173","DOI":"10.1148\/rg.2018180073","volume":"38","author":"RA Marshall","year":"2018","unstructured":"Marshall\u00a0RA et\u00a0al (2018) Imaging features and management of stress, atypical, and pathologic fractures. Radiographics 38:2173\u20132192","journal-title":"Radiographics"},{"key":"657_CR21","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1097\/01.rlu.0000178001.72321.c0","volume":"30","author":"JA Katzel","year":"2005","unstructured":"Katzel\u00a0JA, Heiba\u00a0SI (2005) PET\/CT F\u201118 FDG scan accurately identifies osteoporotic fractures in a\u00a0patient with known metastatic colorectal cancer. Clin Nucl Med 30:651\u2013654","journal-title":"Clin Nucl Med"},{"key":"657_CR22","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1007\/BF00228923","volume":"24","author":"ME Mulligan","year":"1995","unstructured":"Mulligan\u00a0ME (1995) The \u201cgray cortex\u201d: an early sign of stress fracture. Skeletal Radiol 24:201\u2013203","journal-title":"Skeletal Radiol"},{"issue":"1","key":"657_CR23","doi-asserted-by":"publisher","first-page":"S143","DOI":"10.1007\/BF01673424","volume":"53","author":"NL Fazzalari","year":"1993","unstructured":"Fazzalari\u00a0NL (1993) Trabecular microfracture. Calcif Tissue Int 53(1):S143\u2013146 (discussion S146\u2013147)","journal-title":"Calcif Tissue Int"},{"key":"657_CR24","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1177\/036354659502300418","volume":"23","author":"M Fredericson","year":"1995","unstructured":"Fredericson\u00a0M, Bergman\u00a0AG, Hoffman\u00a0KL, Dillingham\u00a0MS (1995) Tibial stress reaction in runners. Correlation of clinical symptoms and scintigraphy with a\u00a0new magnetic resonance imaging grading system. Am J Sports Med 23:472\u2013481","journal-title":"Am J Sports Med"},{"key":"657_CR25","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.csm.2005.08.012","volume":"25","author":"JJ Diehl","year":"2006","unstructured":"Diehl\u00a0JJ, Best\u00a0TM, Kaeding\u00a0CC (2006) Classification and return-to-play considerations for stress fractures. Clin Sports Med 25:17\u201328","journal-title":"Clin Sports Med"},{"key":"657_CR26","doi-asserted-by":"publisher","first-page":"344","DOI":"10.5435\/00124635-200011000-00002","volume":"8","author":"BP Boden","year":"2000","unstructured":"Boden\u00a0BP, Osbahr\u00a0DC (2000) High-risk stress fractures: evaluation and treatment. J\u00a0Am Acad Orthop Surg 8:344\u2013353","journal-title":"J Am Acad Orthop Surg"},{"key":"657_CR27","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1007\/s00264-007-0488-5","volume":"33","author":"A Fottner","year":"2009","unstructured":"Fottner\u00a0A, Baur-Melnyk\u00a0A, Birkenmaier\u00a0C, Jansson\u00a0V, D\u00fcrr\u00a0H\u2011R (2009) Stress fractures presenting as tumours: a\u00a0retrospective analysis of 22 cases. Int Orthop 33:489\u2013492","journal-title":"Int Orthop"},{"key":"657_CR28","doi-asserted-by":"publisher","first-page":"1534","DOI":"10.1002\/jmri.25496","volume":"45","author":"HJ Yoo","year":"2017","unstructured":"Yoo\u00a0HJ et\u00a0al (2017) Measurement of fat content in vertebral marrow using a\u00a0modified dixon sequence to differentiate benign from malignant processes. J\u00a0Magn Reson Imaging 45:1534\u20131544","journal-title":"J Magn Reson Imaging"},{"key":"657_CR29","doi-asserted-by":"publisher","first-page":"3813","DOI":"10.1016\/j.ejrad.2011.04.003","volume":"81","author":"O Nachtrab","year":"2012","unstructured":"Nachtrab\u00a0O et\u00a0al (2012) Role of MRI in hip fractures, including stress fractures, occult fractures, avulsion fractures. Eur J Radiol 81:3813\u20133823","journal-title":"Eur J Radiol"}],"container-title":["Der Radiologe"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00117-020-00657-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00117-020-00657-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00117-020-00657-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T21:39:04Z","timestamp":1613684344000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00117-020-00657-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,19]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["657"],"URL":"https:\/\/doi.org\/10.1007\/s00117-020-00657-7","relation":{},"ISSN":["0033-832X","1432-2102"],"issn-type":[{"value":"0033-832X","type":"print"},{"value":"1432-2102","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,19]]},"assertion":[{"value":"19 February 2020","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"K.\u00a0M.\u00a0Thierfelder, J.\u00a0S.\u00a0Gerhardt, S.\u00a0Langner, T.\u00a0Mittlmeier und M.-A.\u00a0Weber geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}