Primarily based on history and physical examination and a high index of suspicion based on risk factors
X-rays can be helpful if positive but are often unremarkable.
Hallmark is point tenderne...
Treatment of most stress fractures of the tibia is the same as other stress fractures, which is to remove the offending activity (usually impact activity).
However, the treatment of anterior ...
Low-risk stress fractures of the tibia: Ongoing activity modification and pain management is usually sufficient.
High-risk stress fractures of the tibia require intermedullary nailing and ...
Busse JW, Kaur J, Mollon B, et al. Low intensity pulsed ultrasonography for fractures: systematic review of randomised controlled trials. BMJ. 2009;338:b351.
Kaeding CC, Yu JR,...
Distinguish low-risk from high-risk stress fracture based on imaging and exam.
Tenderness to palpation is the main physical examination finding.
MRI is the imaging study of choice.
Evalua...
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