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The Journal of Bone and Joint Surgery 82:213-8 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Bilateral Stress Fractures of the Anterior Part of the Tibial Cortex. A Case Report*

PETER BRUKNER, M.B.B.S.{dagger}, GARY FANTON, M.D.{dagger}, A. GABRIELLE BERGMAN, M.D., PH.D.{dagger}, CHRIS BEAULIEU, M.D.{dagger} and GORDON O. MATHESON, M.D., PH.D.{dagger}, STANFORD, CALIFORNIA

Investigation performed at the Stanford University School of Medicine, Stanford


   Introduction
 
Most stress fractures of the tibia, when treated appropriately, heal without sequelae. A stress fracture of the anterior part of the cortex of the tibia, an uncommon variant, is associated with atypical clinical and radiographic findings, has a propensity for nonunion, and can result in a complete fracture. We report the case of a patient who had chronic, bilateral stress fractures of the anterior part of the tibial cortex.


   Case Report
 
A twenty-one-year-old male college football player who was in his junior year was first seen by us because of a five-year history of recurrent pain in both shins. The pain had worsened in September 1996, during the early part of the football season, when practices were held twice a day. Typically, the pain was most severe when the patient began running but would subside within a few minutes and then return on cessation of weight-bearing activity. The patient had not missed . . . [Full Text of this Article]


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