Radiat Oncol J.  2014 Dec;32(4):213-220. 10.3857/roj.2014.32.4.213.

Insufficiency fracture after radiation therapy

• Oh D
• Huh SJ

• KMID: 1842048
• DOI: http://doi.org/10.3857/roj.2014.32.4.213

Abstract

Insufficiency fracture occurs when normal or physiological stress applied to weakened bone with demineralization and decreased elastic resistance. Recently, many studies reported the development of IF after radiation therapy (RT) in gynecological cancer, prostate cancer, anal cancer and rectal cancer. The RT-induced insufficiency fracture is a common complication during the follow-up using modern imaging studies. The clinical suspicion and knowledge the characteristic imaging patterns of insufficiency fracture is essential to differentiate it from metastatic bone lesions, because it sometimes cause severe pain, and it may be confused with bone metastasis.

Keyword

Radiation therapy; Adverse effects; Fracture; Stress

MeSH Terms

Anus Neoplasms
Follow-Up Studies
Fractures, Stress*
Neoplasm Metastasis
Prostatic Neoplasms
Rectal Neoplasms
Stress, Physiological