Tibial Shaft Stress Fracture

Living reference work entry


A 15-year-old male initially presented with left lower leg pain and radiographs consistent with an anterior tibial cortex stress fracture. Pain persisted despite nonoperative measures including rest from activities and protected weight-bearing. Surgical treatment was offered and the patient underwent intramedullary (IM) nailing of the left tibia shaft stress fracture as this option allowed immediate weight-bearing. The stress fracture healed uneventfully within 5 months.

References and Suggested Reading

  1. Markolf KL, Cheung E, Joshi NB, Boguszewski DV, Petrigliano FA, McAllister DR (2016) Plate versus intramedullary nail fixation of anterior tibial stress fractures: a biomechanical study. Am J Sports Med 44:1590–1596CrossRefPubMedGoogle Scholar
  2. Miyamoto RG, Dhotar HS, Rose DJ, Egol K (2009) Surgical treatment of refractory tibial stress fractures in elite dancers: a case series. Am J Sports Med 37:1150–1154CrossRefPubMedGoogle Scholar

Authors and Affiliations

  1. 1.Nemours Children’s Speciality CareJacksonvilleUSA
  2. 2.Pediatric Orthopaedic AssociatesMariettaUSA

Section editors and affiliations

  • Eric D. Shirley
    • 1
  1. 1.Pediatric Orthopaedic AssociatesMariettaUSA

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