Leg pain with a periosteal and endosteal reaction

A stress fracture can be defined as a fracture of a bone caused by repeated (rather than sudden) mechanical stress. They have been reported in almost all bones of the body, with the lower extremity weight bearing bones, especially the tibia, tarsals and metatarsals, being affected most often. These injuries have a broad spectrum of severity and prognosis. Although the pathology of this injury is understood, the aetiology is less agreed upon. This can make it difficult for clinicians to diagnose and treat this common injury. Stress fractures of the proximal tibiae are common in elderly patients with osteoarthritis, and they are also reported in children. Here, we report an unusual case of an otherwise fit, young, adult male who presented with bilateral insufficiency stress fractures occurring simultaneously in both proximal tibiae. Stress fractures should be a differential diagnosis in any young, fit adult who presents with spontaneous knee pain.

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Bilateral tibial stress fractures: a case report

Animashawun

Bhattee

Ravikumar

2011

Eur J Orthop Surg Traumatol

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Management of the stress fracture of the tibia using expandable intramedullary nail in a patient with osteoarthritis and osteomalacia

Atalay

İnanıcı²,

Volkan³

et al. 2006

The Pain Clinic

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Evaluation of Suspected Stress Fractures

Roebuck¹,

Finger²,

Irvin³

2001

Orthopedics

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Stress fractures can occur if normal bone is exposed to repeated abnormal stress (fatigue fractures) or if normal stress is placed on bones with compromised elastic resistance (insufficiency fractures). This article describes two patients without a history of excessive stressful activity or apparent metabolic bone disease who developed bilateral distal tibial stress fractures. Different etiologies, clinical presentation, differential diagnosis, and diagnostic imaging modalities of stress fractures are discussed.

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Leg pain with a periosteal and endosteal reaction

Cited by 3 publications

References 8 publications

Bilateral tibial stress fractures: a case report

Bilateral tibial stress fractures: a case report

Management of the stress fracture of the tibia using expandable intramedullary nail in a patient with osteoarthritis and osteomalacia

Evaluation of Suspected Stress Fractures

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