Atypical stress fracture of the tibia in a professional athlete

Brahms, Malcolm A.; Fumich, Robert Mark; Ippolito, Victor D.

doi:10.1177/036354658000800215

Cited by 27 publications

(9 citation statements)

References 2 publications

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“…Brahms et al described an asymptomatic case of anterior tibial stress fracture in a professional football player that went on to complete fracture during a game 3 years after the first diagnosis. 8 Orava et al reported on 17 cases of anterior midtibial stress fractures in athletes. In this series, 9 patients went on to nonunion and were treated with open biopsy of the nonunion site and transversal drilling with a 2.0- to 2.5-mm drill bit.…”

Section: Discussionmentioning

confidence: 99%

Chronic Anterior Midtibial Stress Fractures in Athletes Treated with Reamed Intramedullary Nailing

et al. 2005

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Section: Discussionmentioning

confidence: 99%

Chronic Anterior Midtibial Stress Fractures in Athletes Treated with Reamed Intramedullary Nailing

et al. 2005

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“…Another possible complication is the development of an acute fracture [11]. Brahms et al [12] reported such a case of a professional football player who played three and a half seasons before sustaining an acute tibial fracture through the site of the stress fracture. Our case was a high demand professional soccer player.…”

Section: Discussionmentioning

confidence: 99%

Anterior Tibial Cortex Stress Fracture in a High Demand Professional Soccer Player

Gigis

2011

J Med Cases

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Anterior tibia cortex consists a less common location stress fractures. Treatment and return-to-play decision making can have the greatest impact on an athlete's career. We report a case of a 33 years old high demand professional soccer player who suffered an anterior tibia cortex stress fracture. After a short period of conservative treatment we proceeded in an intramedullary nailing, drilling on the fracture site and insertion of autologous growth factors were performed in order to assisst the healing process. He returned to full activities (every day training and offi cial games) 9 weeks after the operation. The last radiograph 6 months post operatively showed healing of the fracture. We believe that intramedullary fi xation of anterior cortex tibial stress fractures when combined with drilling and the use of growth factors helps return sooner than expected to full preinjury levels of performance.

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“…29,32 Caution must, however, be taken because some athletes have demonstrated progression of disease with limited symptoms despite competing at high levels. 3,4 Other ancillary rehabilitation modalities such as hydrotherapy, Pilates, altered resistance conditioning, modified floor surface and/or footwear, and bone stimulators can be incorporated into the program. The dancer's medical, bone density, and dietary status also must be considered and treated if necessary.…”

Section: Discussionmentioning

confidence: 99%