Related Experiment Video
Updated: Dec 30, 2025
Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
Published on: August 14, 2018
Isolated fibular stress fractures: Radiographic parameters
Nana O Sarpong1, Matthew Levitsky1, Michael Held1
1Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Background:
Fibular stress fractures are uncommon injuries with an incompletely understood pathogenesis and predisposing characteristics. This study investigated the demographic and radiographic risk factors for fibular stress fractures.
Methods:
A retrospective chart review from 2010 to 2018 revealed thirteen patients with isolated fibular stress fractures. Demographics, history of fracture, fracture location, bone quality, and heel alignment were collected.
Results:
The cohort consisted of six men and seven women with a mean age of 41.8 years. The average BMI was 28.5kg/m2. Three patients used tobacco. 69.2% of fractures were in the distal third, 23.1% proximal third, and 7.7% middle third. No patients had evidence of osteopenia. Distal fibula stress fractures were more common in women (66.7%) and associated with hindfoot valgus.
Conclusion:
Distal third fibula stress fractures were most common and associated with hindfoot valgus. This could be due to a greater amount of axial force through fibula in this alignment.
Level Of Evidence:
Level IV, Retrospective Case Series.
