Bilateral stress fracture of distal fibula and tibia--case report.

The article presents a very rare case of bilateral distal tibial and fibular stress fractures in a 58-year-old white male. Excessive work load was undoubtedly the direct cause of the fractures as the patient's job involved carrying heavy (about 7 kg) packs of newspapers up stairs for 4 hours every night, with the distance covered amounting to approximately 80 floors. The available literature does not contain descriptions of similar bilateral distal tibial and fibular fractures in an otherwise healthy professionally active male patient. Supplementing the case description is a review of the epidemiology, signs, symptoms, diagnosis and methods of treatment of tibial and fibular stress fractures.