Schultz E
Department of Radiology, Albert Einstein College of Medicine Montefiore Medical Center, Bronx, New York 10467.
Skeletal Radiol. 1990;19(5):391-3. doi: 10.1007/BF00193101.
A stress fracture occurring in the distal tibial metaphysis is presented. This fracture occurred in an area of disuse osteoporosis approximately 3 months following a gross traumatic fracture of the more proximal portion of the tibia. A stress fracture of the distal tibial metaphysis occurring secondary to a bimalleolar fracture of the same bone is also cited. The clinical settings in which tibial stress fractures have been reported are reviewed, as well as the difficulties inherent in the diagnosis and management of this entity.
本文报道了一例发生于胫骨干骺端远端的应力性骨折。该骨折发生在胫骨近端严重创伤性骨折后约3个月的废用性骨质疏松区域。文中还引用了同一骨骼双踝骨折继发胫骨干骺端远端应力性骨折的病例。本文回顾了已报道的胫骨应力性骨折的临床情况，以及该疾病在诊断和治疗中固有的困难。
