Congenital pseudoarthrosis of the tibia treated with low-intensity pulsed ultrasound stimulation (LIPUS)

Kyoji Okada, Naohisa Miyakoshi, Shu Takahashi, Satoshi Ishigaki, Jun Nishida, Eiji Itoi

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

A 16-year-old Japanese boy was admitted to our institution in September 2000 because no apparent callus had appeared around a fracture after 6 weeks of cast fixation. Physical examination revealed a tenderness of the right lower leg, and multiple small subcutaneous tumors and café-au-lait spots in extremities and trunk. Radiographs showed the fracture of the right lower tibia with bony sclerosis and a localized fusiform osteolytic lesion at the fracture site. The affected tibia bowed anteriorly and the medullary space in the lower tibia was narrow. A diagnosis of Boyd type IV congenital pseudoarthrosis of the tibia was made. Treatment with low-intensity pulsed ultrasound (US) stimulation (LIPUS) was administered for 20 min/day, and a nonweight-bearing gait was continued with a cast or brace fixation. At 6 months after the treatment, a small amount of bridging callus was seen. We continued the treatment for 1 year until the solid fusion was observed on radiographs and the patient started full-weight-bearing.

Original languageEnglish
Pages (from-to)1061-1064
Number of pages4
JournalUltrasound in Medicine and Biology
Volume29
Issue number7
DOIs
Publication statusPublished - 2003 Jul 1
Externally publishedYes

Keywords

  • Congenital pseudoarthrosis of the tibia
  • Fracture
  • Low intensity
  • Ultrasound

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Biophysics
  • Acoustics and Ultrasonics

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