{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T02:47:40Z","timestamp":1787626060206,"version":"build-2736575974"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2009,8,26]],"date-time":"2009-08-26T00:00:00Z","timestamp":1251244800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/2.0"},{"start":{"date-parts":[[2009,8,26]],"date-time":"2009-08-26T00:00:00Z","timestamp":1251244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/2.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthopaed Traumatol"],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>We report a case of complete stress fracture of the ulna and stress reaction of the radius resulting from the use of crutches in an overweight patient with severe lower extremity arthritis. Plain radiograph showed an undisplaced complete fracture of the proximal metaphysis of the ulna. Magnetic resonance imaging (MRI) was performed to exclude a pathological cause in view of the unusual fracture site, which confirmed the plain radiographic findings and additionally demonstrated a stress reaction in the proximal radius. There are three cases of stress fracture of the ulnar diaphysis resulting from the use of crutches reported previously in the English literature and a further case of bilaterally symmetrical ulnar diaphysial fracture reported in the Danish literature. We report the first case of ulnar metaphysis stress fracture with concomitant stress reaction of the radius.<\/jats:p>","DOI":"10.1007\/s10195-009-0057-3","type":"journal-article","created":{"date-parts":[[2009,8,25]],"date-time":"2009-08-25T14:52:53Z","timestamp":1251211973000},"page":"155-157","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Proximal ulna stress fracture and stress reaction of the proximal radius associated with the use of crutches: a case report and literature review"],"prefix":"10.1007","volume":"10","author":[{"given":"Nanda","family":"Venkatanarasimha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sridhar","family":"Kamath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Kambouroglou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon J.","family":"Ostlere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2009,8,26]]},"reference":[{"key":"57_CR1","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/j.csm.2005.08.008","volume":"25","author":"GL Jones","year":"2006","unstructured":"Jones GL (2006) Upper extremity stress fracture. Clin Sports Med 25:159\u2013174","journal-title":"Clin Sports Med"},{"key":"57_CR2","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1007\/s00256-004-0781-y","volume":"33","author":"A Amin","year":"2004","unstructured":"Amin A, Singh V, Saifuddin A, Briggs TWR (2004) Ulnar stress reaction from crutch use following amputation for tibial osteosarcoma. Skeletal Radiol 33:541\u2013544","journal-title":"Skeletal Radiol"},{"key":"57_CR3","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1016\/0020-1383(88)90114-3","volume":"19","author":"F McGoldrick","year":"1988","unstructured":"McGoldrick F, O\u2019Brien TM (1988) Bilateral stress fractures of the ulna. Injury 19:360\u2013361","journal-title":"Injury"},{"key":"57_CR4","doi-asserted-by":"publisher","first-page":"524","DOI":"10.1097\/00005131-200109000-00011","volume":"15","author":"G Gracia Suarez","year":"2001","unstructured":"Gracia Suarez G, Garcia Garcia J, Perez Carro L (2001) Stress fracture of the ulna associated with crutch use. J Orthop Trauma 15:524\u2013525","journal-title":"J Orthop Trauma"},{"key":"57_CR5","first-page":"1850","volume":"154","author":"L Sorensen","year":"1992","unstructured":"Sorensen L (1992) Bilateral symmetrical stress fracture of the ulna (in Danish). Ugeskr Laeger 154:1850\u20131851","journal-title":"Ugeskr Laeger"},{"key":"57_CR6","first-page":"226","volume":"84","author":"A Troell","year":"1941","unstructured":"Troell A, Lauritzen G, Moller A (1941) Fractures of apparently healthy bone without unquestionably true element of accident. Acta Chir Scand 84:226","journal-title":"Acta Chir Scand"},{"key":"57_CR7","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1177\/036354658301100211","volume":"11","author":"AC Rettig","year":"1983","unstructured":"Rettig AC (1983) Stress fracture of the ulna in an adolescent tournament tennis player. Am J Sports Med 11:103\u2013106","journal-title":"Am J Sports Med"},{"key":"57_CR8","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1177\/036354658401200514","volume":"12","author":"HK Hamilton","year":"1984","unstructured":"Hamilton HK (1984) Stress fracture of the diaphysis of the ulna in a body builder. Am J Sports Med 12:405\u2013406","journal-title":"Am J Sports Med"},{"key":"57_CR9","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1097\/00042752-199910000-00009","volume":"9","author":"BH Hamilton","year":"1999","unstructured":"Hamilton BH, Colsen E, Brukner P (1999) Stress fracture of the ulna in a baseball pitcher. Clin J Sport Med 9:231\u2013232","journal-title":"Clin J Sport Med"},{"key":"57_CR10","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/03635465020300010901","volume":"30","author":"RJ Clark","year":"2002","unstructured":"Clark RJ, Sizer PS Jr, Slauterbeck J (2002) Stress Fracture of the ulna in a male competitive polo player. Am J Sports Med 30:130\u2013132","journal-title":"Am J Sports Med"},{"key":"57_CR11","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1136\/bjsm.32.4.340","volume":"32","author":"T Sujino","year":"1998","unstructured":"Sujino T, Ohe T, Shinozuka M (1998) Bilateral stress fractures of the ulnae in a Kendo (Japanese fencing) player. Br J Sports Med 32:340\u2013342","journal-title":"Br J Sports Med"},{"key":"57_CR12","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1007\/s00256-002-0597-6","volume":"32","author":"JG Craig","year":"2003","unstructured":"Craig JG, Widman D, van Holsbeeck M (2003) Longitudinal stress fracture: patterns of edema and the importance of the nutrient foramen. Skeletal Radiol 32:22\u201327","journal-title":"Skeletal Radiol"}],"container-title":["Journal of Orthopaedics and Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10195-009-0057-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10195-009-0057-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10195-009-0057-3","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10195-009-0057-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T20:20:50Z","timestamp":1630441250000},"score":1,"resource":{"primary":{"URL":"https:\/\/jorthoptraumatol.springeropen.com\/articles\/10.1007\/s10195-009-0057-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,8,26]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,9]]}},"alternative-id":["57"],"URL":"https:\/\/doi.org\/10.1007\/s10195-009-0057-3","relation":{},"ISSN":["1590-9921","1590-9999"],"issn-type":[{"value":"1590-9921","type":"print"},{"value":"1590-9999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,8,26]]},"assertion":[{"value":"13 January 2009","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 July 2009","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 August 2009","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}