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Longitudinal stress leg fracture in the elderly
1Hôpital Sainte-Périne (AP/HP), Paris, France.
Biomedicine & Pharmacotherapy = Biomedecine & Pharmacotherapie
|January 1, 1997
Summary
Longitudinal fibular stress fractures are a newly described injury, presenting with ankle pain and normal X-rays. Diagnosis requires bone scans and CT, with activity restriction leading to full recovery.
Area of Science:
- Orthopedics
- Sports Medicine
- Radiology
Background:
- Longitudinal tibial stress fractures were first described in 1960.
- Transversal fibular stress fractures are known, but longitudinal fibular fractures have not been previously documented.
Purpose of the Study:
- To describe the characteristics of longitudinal stress fractures of the fibula.
- To highlight diagnostic methods and treatment outcomes for this uncommon injury.
Main Methods:
- Patient case review noting symptoms of ankle pain.
- Diagnostic imaging including X-rays, bone scan, and CT scan.
- Assessment of treatment via activity restriction.
Main Results:
- Patients presented with tibial or fibular side ankle pain and normal initial X-rays.
- Bone scans revealed widespread increased radionuclear uptake.
- CT scans confirmed the presence of longitudinal stress fractures.
- One month of activity restriction led to complete pain resolution in all patients.
Conclusions:
- Longitudinal fibular stress fracture is a previously undescribed entity.
- Diagnosis relies on high clinical suspicion, bone scan, and CT.
- Conservative management with activity restriction is effective for this condition.
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