Gilbody Julian, Trevett Michael
Trauma & Orthopaedics, Worcestershire Royal Hospitals NHS Trust, United Kingdom.
Foot Ankle Surg. 2009;15(2):96-100. doi: 10.1016/j.fas.2008.06.001. Epub 2008 Jul 18.
We present the case of an apparently healthy 22-year-old female who presented with atraumatic stress fractures of both fibulae. Further investigation demonstrated that she had osteopoenia secondary to occult coeliac disease. The fractures were successfully treated non-operatively. The awareness of the prevalence of occult coeliac disease is increasing due to simpler diagnostic tests, as is its significance as a cause of secondary osteoporosis. Knowing the relationship between these two conditions will help orthopaedic surgeons treating such patients to refer them promptly to appropriate specialists.