Lower Leg Injuries

  • Angela D. Smith


Lower leg pain rarely occurs from the usual activities of daily living of children and adolescents. Nonacute, repetitive microtraumatic injuries are typically related to running and jumping associated with sports. Pain in the tibia or fibula not caused by acute trauma is most often associated with recurrent impact loading. Training errors and inappropriate equipment are often causative factors. In addition, lower leg injuries caused by acute trauma that is unrelated to sport may impact the young athlete’s ability to participate in desired activities.


Stress Fracture Compartment Syndrome Osteogenesis Imperfecta Ankle Sprain Young Athlete 


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  1. 1.
    Edwards PH, Jr., Wright ML, Hartman JF. A practical approach for the differential diagnosis of chronic leg pain in the athlete. Am J Sports Med 2005;33:1241–1249.CrossRefPubMedGoogle Scholar
  2. 2.
    Hislop M, Tierney P, Murray P, O’Brien M, Mahony N. Chronic exertional compartment syndrome: the controversial “fifth” compartment of the leg. Am J Sports Med 2003;31:770–776.PubMedGoogle Scholar
  3. 3.
    Eidelman M, Nachtigal A, Katzman A, Bialik V. Acute rupture of achilles tendon in a 7-year-old girl. J Pediatr Orthop B 2004;13:32–33.CrossRefPubMedGoogle Scholar
  4. 4.
    Garcia-Mata S, Hidalgo-Ovejero A, Martinez-Grande M. Chronic exertional compartment syndrome of the legs in adolescents. J Pediatr Orthop 2001;21: 328–334.CrossRefPubMedGoogle Scholar
  5. 5.
    Takebayashi S, Takazawa H, Sasaki R, Miki H, Soh R, Nishimura J. Chronic exertional compartment syndrome in lower legs: localization and follow-up with thallium-201 SPECT imaging. J Nucl Med 1997;38:972–976.PubMedGoogle Scholar
  6. 6.
    Birtles DB, Minden D, Wickes SJ, et al. Chronic exertional compartment syndrome: muscle changes with isometric exercise. Med Sci Sports Exerc 2002;34:1900–1906.CrossRefPubMedGoogle Scholar
  7. 7.
    Trease L, van Every B, Bennell K, et al. A prospective blinded evaluation of exercise thallium-201 SPET in patients with suspected chronic exertional compartment syndrome of the leg. Eur J Nucl Med 2001;28:688–695.CrossRefPubMedGoogle Scholar
  8. 8.
    Amendola A, Rorabeck CH, Vellett D, Vezina W, Rutt B, Nott L. The use of magnetic resonance imaging in exertional compartment syndromes. Am J Sports Med 1990;18:29–34.CrossRefPubMedGoogle Scholar
  9. 9.
    Kouvalchouk JF, Lecocq J, Parier J, Fischer M. [The accessory soleus muscle: a report of 21 cases and a review of the literature]. Rev Chir Orthop Reparatrice Appar Mot 2005;91:232–238.PubMedGoogle Scholar
  10. 10.
    Loud KJ, Gordon CM, Micheli LJ, Field AE. Correlates of stress fractures among preadolescent and adolescent girls. Pediatrics 2005;115:e399–e406.CrossRefPubMedGoogle Scholar
  11. 11.
    Smith AD. Reduction of injuries among elite figure skaters. A 4-year longitudinal study. Med Sci Sports Exerc 1991;23:151.Google Scholar
  12. 12.
    Jones BH, Harris JM, Vinh TN, Rubin C. Exercise-induced stress fractures and stress reactions of bone: epidemiology, etiology, and classification. Exerc Sport Sci Rev 1989;17:379–422.PubMedGoogle Scholar
  13. 13.
    Brukner P. Exercise-related lower leg pain: bone. Med Sci Sports Exerc 2000;32: S15–S26.CrossRefPubMedGoogle Scholar
  14. 14.
    Gaeta M, Minutoli F, Scribano E, et al. CT and MR imaging findings in athletes with early tibial stress injuries: comparison with bone scintigraphy findings and emphasis on cortical abnormalities. Radiology 2005;235:553–561.CrossRefPubMedGoogle Scholar
  15. 15.
    Varner KE, Younas SA, Lintner DM, Marymont JV. Chronic anterior midtibial stress fractures in athletes treated with reamed intramedullary nailing. Am J Sports Med 2005;33:1071–1076.CrossRefPubMedGoogle Scholar
  16. 16.
    Kolettis GJ, Micheli LJ, Klein JD. Release of the flexor hallucis longus tendon in ballet dancers. J Bone Joint Surg Am 1996;78:1386–1390.PubMedGoogle Scholar
  17. 17.
    Teitz CC. Dance. In: Ireland ML, Nattiv A, eds. The Female Athlete. Philadelphia: Saunders; 2002:616.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Angela D. Smith
    • 1
  1. 1.Department of Orthopaedics, The Sports Medicine and Performance Center at the Children’s Hospital of PhiladelphiaKing of PrussiaUSA

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