Bilateral Tibial Stress Fractures and Osteoporosis in a Young Patient

Abstract

Stress fractures result from microscopic bone injury due to repetitive submaximal stress and include fatigue and insufficiency fracture components. Fatigue fractures generally occur in runners and athletes and are caused by abnormal physical load on the bone. On the other hand, insufficiency fractures are generally seen in the elderly secondary to osteoporosis, typically involving the pelvis and surrounding bones. Insufficiency fracture occurs as a result of normal loading in the abnormal bone. In this case report, we describe a young patient with bilateral tibial stress fractures with both fatigue and insufficiency components.

Case report: A rare Salter–Harris V metaphyseal fatigue fracture of the knee in an adolescent patient with obesity

“…MRI revealed a proximal tibial metaphyseal stress fracture, and the patient recovered well after conservative treatment. Ali et al ( 12 ) reported the case of a 23-year-old woman, also without any history of trauma, who developed painful discomfort in both knees after a month of intense exercise in preparation for a police examination. MRI in this patient revealed bilateral metaphyseal stress fractures of the proximal tibias.…”