Acta Chir Orthop Traumatol Cech. 2019; 86(2):156-158 | DOI: 10.55095/achot2019/023

Bilateral Distal Tibial Stress Fracture in a TriathleteCase report

J. KOKALJ, M. MAJSTOROVIĈ*
University Medical Centre Ljubljana, Department of traumatology, Ljubljana, Slovenia

Stress fractures are common injuries in athletes. They result from excessive, repetitive loads on the normal bone which can cause an imbalance between bone resorption and formation, because during periods of intense exercise, bone formation lags behind bone resorption. The most common locations for stress fractures are weight-bearing bones of the lower extremities. This kind of injuries can easily be missed because they usually do not follow an acute injury in a fit young athlete, and plain radiographs usually appear normal.
In this paper, a case of an amateur triathlete who suffered from a bilateral distal tibial stress fracture is presented.

Keywords: stress fracture, tibia, bilateral, distal tibia

Published: April 1, 2019  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
KOKALJ J, MAJSTOROVIĈ M. Bilateral Distal Tibial Stress Fracture in a Triathlete. Acta Chir Orthop Traumatol Cech.. 2019;86(2):156-158. doi: 10.55095/achot2019/023. PubMed PMID: 31070577.
Download citation

References

  1. Beck BR, Rudolph K, Matheson GO, MD, Bergman AG, Norling TL. Risk factors for tibial stress injuries: a case-control study. Clin J Sport Med. 2015;25:230-236. Go to original source... Go to PubMed...
  2. Boden BP, Osbahr DC, Jimenez C. Low risk stress fractures. Am J Sports Med. 2001;29:100-111. Go to original source... Go to PubMed...
  3. Brukner P, Bradshaw C, Khan KM, White S, Crossley K. Stress fractures: a review of 180 cases. Clin J Sport Med. 1996;6:85-89. Go to original source... Go to PubMed...
  4. Fayad LM, Kamel IR, Kawamoto S, Bluemke DA, Frassica FJ, Fishman EK. Distinguishing stress fractures from pathologic fractures: a multimodality approach. Skeletal Radiology. 2005;34:245-259. Go to original source... Go to PubMed...
  5. Greaser MC. Foot and ankle stress fractures in athletes. Orthop Clin North Am. 2016;47:809-822. Go to original source... Go to PubMed...
  6. Hulkko A, Orava S. Stress fractures in athletes. Int J Sports Med. 1987;8:221-226. Go to original source... Go to PubMed...
  7. Iwamoto J, Takeda T. Stress fractures in athletes: review of 196 cases J Orthop Sci. 2003;8:273-278. Go to original source... Go to PubMed...
  8. Matcuk GR, MahantySR, Skalski MR, Patel1DB, White EA, Gottsegen CJ. Stress fractures: pathophysiology, clinical presentation, imaging features, and treatment options. Emerg Radiol. 2016;23: 365. Go to original source... Go to PubMed...
  9. O'Neill BJ, Ryan K, Burke NG, Moroney PJ. BMJ Case Rep. 2014;10.1136/bcr-2014-205353. Go to original source... Go to PubMed...
  10. Patel DS, Roth M, Kapil N. Stress fractures: diagnosis, treatment, and prevention. Am Fam Physician. 2011;83:39-46. Go to PubMed...
  11. Peris P, Monegal A, Martínez M, Guañabens N. Bilateral tibial stress fracture presenting as painful edemas in lower limbs. J Bone Spine. 2006;73:557-559. Go to original source... Go to PubMed...
  12. Scaglione M, Fabbri L, Dell'Omo D, Gambini F, Di Rollo F, Guido G. A case of bilateral stress fractures in an old woman: three years of pain. Clin Cases Miner Bone Metab. 2014;11:149-152. Go to original source...
  13. Sciberras N, Taylor C, Trimble K. Bilateral distal tibial stress fractures in a military recruit. BMJ Case Reports. 2012;10.1136/bcr.01.2012.5563. Go to original source... Go to PubMed...
  14. Spitz DJ, Newberg AH. Imaging of stress fractures in the athlete. Radiol Clin North Am. 2002;40:313-331. Go to original source... Go to PubMed...
  15. Yagi S, Muneta T, Sekiya I. Incidence and risk factors for medial tibial stress syndrome and tibial stress fracture in high school runners. Knee Surg Sports Traumatol Arthrosc. 2013;21:556-563. Go to original source... Go to PubMed...