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© 1996 British Society for Rheumatology

case-report

SIMULTANEOUS BILATERAL TIBIAL STRESS FRACTURES IN A 15-YEAR-OLD MILKMAN—A CASE REPORT

C. A. SPEED, J. N. FORDHAM and J. L. CUNNINGHAM*

Department of Rheumatology, South Cleveland Hospital Middlesbrough
*Department of Orthopaedics, University of Bristol Bristol

Correspondence to: Correspondence to: C. A. Speed, Department of Rheumatology, South Cleveland Hospital, Marton Road, Middlesbrough, Cleveland

Although stress fractures are well recognized, their frequency, sequelae and complex aetiology are often under-rated. In this case report, we describe an unusual case of simultaneous bilateral stress fractures of the proximal tibial shaft in a young man, exposed to a sudden increase in unaccustomed joint loading due to his part-time occupation. The pathogenesis is discussed.

KEY WORDS: Stress fractures, Proximal tibial shaft, Unaccustomed joint loading


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