METHODS: A systematic review was conducted in 8 electronic databases to identify diagnostic accuracy studies, published between January 1950 and June 2011, that evaluated clinical tests against a radiological diagnosis of lower-limb stress fracture. Physical examination procedures and clinical tests are suggested for diagnosing stress fractures however, data on the diagnostic accuracy of these tests have not been investigated through a systematic review of the literature. OBJECTIVES: To evaluate the diagnostic accuracy of clinical tests to identify stress fractures in the lower limb.īACKGROUND: Stress fractures are a bone-related overuse injury primarily occurring in the lower limb and commonly affecting running athletes and military personnel. STUDY DESIGN: Systematic literature review and meta-analysis. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. ~ Paul Ingraham original abstract † Abstracts here may not perfectly match originals, for a variety of technical and practical reasons.
I don’t suppose I ever thought it was a slam dunk diagnosis, just an easy and quirky clue generator. Neither technique was found to be accurate “it is recommended that radiological imaging should continue to be used” instead.įortunately (for the sake of the elegant quirkiness of the tuning fork idea), they aren’t saying that a tuning fork actually can’t work … just that’s it not reliable for confirmation, which kind of a “well, duh” conclusion. This analysis of studies since the 1950’s tried to determine if either ultrasound or tuning forks are actually useful in finding lower-limb stress fractures. Supposedly a humming tuning fork applied to a stress fracture will make it ache. This science attacks something I care deeply about: tuning fork diagnosis of stress fractures. Links to other papers and more general information are provided wherever possible. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. PainSci commentary on Schneiders 2012: ? This page is one of thousands in the bibliography. Shin Splints Treatment, The Complete Guide 2. Three articles on PainSci cite Schneiders 2012: 1.
If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.Tags: treatment, diagnosis, devices, shin pain, fun, leg, limbs, pain problems, overuse injury, injury, running, exercise, self-treatment The use of the eHealthMe site and its content is at your own risk. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. Different individuals may respond to medication in different ways. Our phase IV clinical studies alone cannot establish cause-effect relationship. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.ĭISCLAIMER: All material available on is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider.
Tuning fork broken bone software#
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